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游离拇腓侧皮瓣修复手指指腹缺损 被引量:6

Free first toe fibular flap for repairing finger pulp defect
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摘要 目的探讨游离拇腓侧皮瓣修复手指指腹缺损的临床疗效。方法采用游离拇腓侧皮瓣对15例手指指腹缺损患者进行修复,供区直接缝合或游离皮片移植。结果15例皮瓣全部成活。患者均获得12个月随访。术后3个月指腹皮瓣外形饱满、逼真、耐磨。术后5个月两点辨别觉为5~8 mm,手指屈伸功能恢复良好,供区愈合良好。术后12个月按中华医学会手外科学会上肢部分功能评定试用标准评定疗效:优12例,良3例。结论采用游离拇腓侧皮瓣修复手指指腹缺损可有效重建患指外形及功能,是修复指腹缺损的理想方法。 Objective To investigate the clinical effect of free first toe fibular flap for repairing finger pulp defect.Methods The 15 cases of finger pulp defects were repaired with free first toe fibular flaps,and the donor site was directly sutured or grafted with free skin.Results All the flaps survived after operation,and all patients were followed up for 12 months.The appearance of the flap was full,lifelike and wearable at postoperative 3 months.The two-point discrimination was 5~8 mm at postoperative 5 months.The flexion and extension function of fingers recovered well.The donor site healed well.At 12 months after operation,according to the standard of Hand Surgery of Chinese Medical Association for upper limbs,the results were excellent in 12 cases and good in 3.Conclusions It is an ideal method to reconstruct the shape and function of the finger pulp defect by free first toe fibular flap.
作者 刘自立 孔祥安 冯瑛琦 臧谋圣 高杰 LIU Zi-li;KONG Xiang-an;FENG Ying-qi;ZANG Mou-sheng;GAO Jie(Dept of Orthopaedics,the Second People′s Hospital of Hefei,Hefei,Anhui 230011,China)
出处 《临床骨科杂志》 2022年第1期65-67,共3页 Journal of Clinical Orthopaedics
关键词 手指指腹缺损 拇腓侧皮瓣 finger pulp defect the first toe fibular flap
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