皮下包埋法治疗手指末节离断伤70例报告

A new replantation method for the treatment of distal segment finger amputations with subcutaneous pocket

目的介绍一种治疗手指末节离断伤的新方法。方法2001年8月～2005年2月，70例122指末节完全离断指，经拔甲、内固定、去表皮浅层后，分别埋入同侧手掌、胸部、腹部皮下。16～20d将离断指从皮下取出。结果70例122指完全成活。再植指感觉及外观满意。结论皮下包埋治疗末节离断指的方法简单实用，是治疗末节离断伤的有效方法，特别适用于无法吻接血管的末节离断。

Objective To explore a new way for the treatment of distal segment finger amputations. Methods From Aug 2001 to Feb 2005 ,the method of subcutaneous pocket was applied to 122 complete distal segment finger amputations in 70 patients. After the nail of amputated parts was removed, fractured bone segments fixed with K - wires and amputated part de - epithelialized to the middermal layer,the reattached parts were separately inserted into the subcutaneous pocket of chest, abdominal or ipsilateral palm. After 16 to 20 days, the reattached parts were removed from the subcutaneous pocket. Results One hundred and twenty - two finger amputations of 70 cases had recovered completely. The replanted fingers had satisfactory sensation and appearance. Conclusion It is a simple and effective method for the treatment of distal segment finger amputations, particularly for the finger amputations when the vascular anastomosis is not feasible.