急诊手指末节再造

Emergency reconstruction of the digital tip

目的 介绍手指末节急诊再造的临床效果。方法 对 3 0例 3 5指手指末节毁损性离断者 ,急诊采用部分第二足趾游离移植再造手指末节。结果 再造的手指末节全部成活。术后随访 1～ 6年 ,再造手指末节血运丰富 ,外形满意。指腹二点分辨觉 5～ 8mm ,远侧指间关节伸直正常 ,屈曲平均达 60°。结论 部分第二足趾游离移植急诊再造手指末节 。

Objective To report treatment outcome of emergency reconstruction of digital tips. Methods 30 cases (35 lesions) of destructive amputation injury at the digital tip were involved in the study. The emergency free transfer of the partial second toe was used to reconstruct finger tips. Results All replanted fingers survived successfully. Postoperative follow up from 1 to 6 years showed excellent blood supply and normal shape of the reconstructed finger tips. The two point discrimination of the finger was 5 ～ 8 cm. Normal range of motion at the distal interphalangeal joint was achieved with an average flexion of 60°. Conclusions Emergency reconstruction of digital tip using the free transfer of the partial second toe is an optimal procedure for treatment of destructive injury or defect at the finger tip.