[足母]趾甲床断层移植一期修复手指甲床缺损的治疗体会

The experience of primary repair of nail bed defect of the fingers by split nall bed grafting from the big toe

目的探讨一期游离[足母]趾甲床断层移植在手指甲床缺损修复中的疗效。方法2005年8月至2008年8月，采用[足母]趾中厚断层甲床移植修复12例14指外伤性甲床缺损。结果术后随访3～10个月，平均8个月，12例14指移植甲床全部存活，12指指甲外形满意，2指因感染及末节指骨粉碎性骨折，指甲外形不平整。患指和供区[足母]趾的外观和功能良好。结论游离[足母]趾甲床断层移植修复手指甲床缺损，手术操作简单，术后能恢复患指的良好外形和功能，是治疗手指甲床部分缺损的一种较好的方法。

Objective To evaluate the results of primary repair of nail bed defect of the fingers using split nail bed grafting from the big toe. Methods From August 2005 to August 2008, traumatic nail bed defects of the fingers in 12 cases 14 fingers were treated with split nail bed grafting from the big toe. Results All patients were follow-up for 3 to 10 months, with an average of 8 months. All grafts in the 12 patients 14 fingers survived. Twelve nail beds grew with satisfactory appearance. Two nail beds were uneven due to postoperative infection and distal phalanx fracture. The overall appearance and function of the repaired fingers and the donor toes were good. Conclusion Split nail bed grafting from the toe is a promising method for repair of nail bed defects. The surgical procedure is easy and leads to satisfactory appearance and function of the fingers.