指动脉终末背侧支逆行岛状皮瓣修复指端缺损的临床研究

Repair of fingertip defect with reverse island flap based on the end dorsal branches of the digital artery

目的研究指动脉终末背侧支逆行岛状皮瓣修复指端软组织缺损及覆盖指骨外露的疗效。方法临床运用指动脉终末背侧支血管蒂的中节指背岛状皮瓣逆行转移修复指端软组织缺损17例19指。结果术后皮瓣全部成活,功能及外形均为满意。结论该皮瓣不牺牲手指知名血管,手术简便,是修复指端软组织缺损及覆盖指骨骨外露一种有效可行的手术方法,值得推广。

Aim To study the effect of reverse flap of the end dorsal branches of digital artery for coverage of fingertip soft tissue loss and exposed digital bone. Methods The reverse flap from the dorsal of the middle phalanx was harvested for coverage of the distal phalanx for 19 fingers of 17cases. Results All cases survived completely and had a satisfactory appearance and function. Conclusion The reverse flap is an efficient and practical method for repair of fingertip soft tissue loss and exposed digital bone with simple procedure and without famous vascular sacrifice of fingers. It is worth using generally.