Purpose:Fingertip injuries are common in industrial production activities as well as in domestic work.Loss of pulp hampers daily life activities.Functional and aesthetic aspects are important in fingertip reconstructi...Purpose:Fingertip injuries are common in industrial production activities as well as in domestic work.Loss of pulp hampers daily life activities.Functional and aesthetic aspects are important in fingertip reconstruction.The bone is usually exposed along with soft tissue loss.Therefore to reconstruct the pulp flap with adequate bulk is required.Methods:We reported a case series of 12 patients with the injury over the volar aspect of distal phalanx of the index or middle finger.In all cases,laterally based thenar flap was chosen.The flap donor site was closed primarily in most of cases,while 4 patients required skin graft.The flap was detached between 2e3 weeks.Functional assessment was done using static and dynamic 2-point discrimination and range of motion at each joint.The aesthetic outcome was assessed through questionnaire.The results were analyzed using the unpaired t-test(SPSS version 21).Results:Partial necrosis occurred in 2 cases while rest of flaps survived successfully.Static 2-point discrimination ranged from 6e10 mm,mean 8.6 mm;and dynamic 2-point discrimination ranged from 8e10 mm,mean 8.9 mm.The mean satisfaction score was(4.0±0.55).Conclusion:Thenar flap is a good choice for reconstruction of the finger pulp as it provides the bulk with good functional and aesthetic outcome.展开更多
目的 探讨桡动脉浅支皮瓣修复指腹缺损的手术疗效.方法 设计游离桡动脉浅支皮瓣修复指腹缺损20例.指腹皮肤缺损范围1.5 cm ×2.5 cm～3.5 cm ×2.0 cm.以桡动脉浅支走行于腕掌侧设计皮瓣,于皮瓣近端切取正中神经掌皮支重建感觉...目的 探讨桡动脉浅支皮瓣修复指腹缺损的手术疗效.方法 设计游离桡动脉浅支皮瓣修复指腹缺损20例.指腹皮肤缺损范围1.5 cm ×2.5 cm～3.5 cm ×2.0 cm.以桡动脉浅支走行于腕掌侧设计皮瓣,于皮瓣近端切取正中神经掌皮支重建感觉.结果 20例移植皮瓣全部成活,未发生血管危象.随访6～12个月,皮瓣质地血运良好,外形满意,两点辨别觉5～7 mm,手指伸展、屈曲活动正常.结论 游离桡动脉浅支皮瓣切取方便、供区损伤小,是修复手指指腹缺损的一种较好方法.展开更多
文摘Purpose:Fingertip injuries are common in industrial production activities as well as in domestic work.Loss of pulp hampers daily life activities.Functional and aesthetic aspects are important in fingertip reconstruction.The bone is usually exposed along with soft tissue loss.Therefore to reconstruct the pulp flap with adequate bulk is required.Methods:We reported a case series of 12 patients with the injury over the volar aspect of distal phalanx of the index or middle finger.In all cases,laterally based thenar flap was chosen.The flap donor site was closed primarily in most of cases,while 4 patients required skin graft.The flap was detached between 2e3 weeks.Functional assessment was done using static and dynamic 2-point discrimination and range of motion at each joint.The aesthetic outcome was assessed through questionnaire.The results were analyzed using the unpaired t-test(SPSS version 21).Results:Partial necrosis occurred in 2 cases while rest of flaps survived successfully.Static 2-point discrimination ranged from 6e10 mm,mean 8.6 mm;and dynamic 2-point discrimination ranged from 8e10 mm,mean 8.9 mm.The mean satisfaction score was(4.0±0.55).Conclusion:Thenar flap is a good choice for reconstruction of the finger pulp as it provides the bulk with good functional and aesthetic outcome.
