指动脉终末背侧支逆行皮瓣

Reverse flap based on the end dorsal branches of the digital artery

目的 介绍用指动脉终末背侧支逆行皮瓣修复指端软组织缺损及覆盖裸骨的疗效。方法 应用指动脉终末背侧支血管蒂的中节指背皮瓣逆行转移修复指端软组织缺损 5例。结果 术后皮瓣全部存活 ,外形满意。结论 该术式是目前临床上以最纤细血管分支命名的血管蒂皮瓣之一 ,可避免损伤指固有血管 ,手术简便。

Objective To introduce the treatment outcome of the reverse flap of the end dorsal branches of the 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 5 cases. Results All cases survived completely and had a satisfactory appearance. Conclusion The procedure was one of the pedicled flaps named with the finest vascular branches presently. It can avoid injury of the digital proper artery with simple procedure.