Application of medical sterile gloves-assisted cutting cloth sample in repairing finger degloving injury
10.3760/cma.j.cn114453-20220725-00232
- VernacularTitle:医用无菌手套辅助下裁剪布样在手指脱套缺损修复中的应用
- Author:
Qiao HOU
1
;
Jinqin LU
;
Mei GE
;
Wei ZHUANG
;
Feng HONG
;
Gang QU
;
Renfu QUAN
;
Lingfen LIU
;
Hongmei FU
Author Information
1. 浙江中医药大学滨江学院附属江南医院手外科2病区，杭州 311200
- Keywords:
Surgical flaps;
Surgical gloves;
Anatomical model;
Finger injury;
Transplantation
- From:
Chinese Journal of Plastic Surgery
2023;39(8):873-878
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application effect of medical sterile gloves-assisted cutting cloth samples in the repair of finger degloving injury.Methods:The clinical data of patients with finger skin and soft tissue degloving defects treated in Jiangnan Hospital Affiliated with Binjiang College of Zhejiang University of Traditional Chinese Medicine from April 2015 to December 2021 were analyzed retrospectively. Medical sterile gloves were used to make cloth samples of finger defects, and then the dorsal foot flap or toenail flap was cut according to the cloth samples to repair finger defects. The survival of flaps and the appearance of the fingers’ body were observed after surgery, and the patients’ satisfaction was investigated. The finger function was evaluated by the trial standard of upper limb function evaluation of the Hand Surgery Society of Chinese Medical Association.Results:A total of 12 patients with 13 fingers were enrolled. There were 9 males (10 fingers) and 3 females (3 fingers), aged 17-54, average of 37-year-old. There were 5 cases (5 fingers) in the left hand and 7 cases (8 fingers) in the right hand, all with unilateral finger injury. The size of the dorsal flaps and great toenail flaps harvested were appropriate, ranging from 5.5 cm×4.5 cm to 10.5 cm×5.8 cm. After surgery, all patients were regularly followed up for 3-15 months, an average of 7 months. All the dorsal flap and great toenail flap of the foot after surgery survived, and the appearance of the finger body was not bloated. All patients were very satisfied with the appearance and function of the hand, and the finger function was evaluated as excellent in 7 cases and good in 5 cases.Conclusion:The application of sterile gloves-assisted cutting cloth samples for the treatment of finger degloving injury can simplify the procedure, reduce donor damage, make up for the lack as much as needed, and the repaired fingers can obtain better shape and function.
