逆行岛状皮瓣联合局部皮瓣修复示指软组织缺损

Combining reversed island flap with local flap in treatment of the index finger soft tissue defect

目的:评价利用指动脉或第一掌背动脉为轴型血管的逆行岛状皮瓣修复示指软组织缺损,并利用局部皮瓣修复次生创面的术式特点。方法:根据示指创面位置,近侧指间关节以远创面利用以指动脉为轴型血管的逆行岛状皮瓣修复,近侧指间关节(含关节)以近者利用第一掌背动脉,供瓣区利用局部易位皮瓣修复。结果:临床应用15例,利用指动脉者7例,利用掌背动脉者8例,除1例轴型皮瓣术后部分坏死再次清创缝合外,余皮瓣均一期愈合。结论:灵活应用指动脉或第一掌背动脉为轴型血管的逆行岛状皮瓣修复示指软组织缺损,并利用局部皮瓣修复次生创面,这一术式有效果可靠、操作方便、手术次数少等特点。

Objective To introduce a method of repairing index finger soft tissue defect by reversed island flap and local flap. Methods According to proximal interphalangeal joints,the distal wound was repaired by reversed island flap using digital artery as axial vascular,the proximal one using dorsal metacarpal artery, the donor area of island flap was repaired by local translocation flap. Results Fifteen ere treated by this method,using digital artery in seven cases,using dorsal metacarpal artery in eight,the flap had partial necrosis in one case,the others healed by first intention. Conclusion The technique of repairing index finger soft tissue defect by reversed island flap and local flap has more advantages,such as effective,reliable and easy to operate, fewer surgical and so on.