Characteristics and replantation of degloving injury of distal finger
10.3969/j.issn.1003-0034.2013.08.006
- VernacularTitle:手指末节脱套损伤特点与再植
- Author:
Fu Liang JIANG
1
;
Ya Fei ZHOU
;
Lin Zheng CHI
;
Qing YU
;
Gang Ting CHU
;
Yang Wei GAO
Author Information
1. 温州医学院附属第二医院骨科医院手外科
- Keywords:
Finger injuries;
Soft tissue injuries;
Replantation;
Reconstructive surgical procedures
- From:
China Journal of Orthopaedics and Traumatology
2013;(8):637-639
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore clinical characteristics and replantation methods of degloving injury of distal finger. Methods:From 2004 to 2009,18 cases of 19 distal finger degloving were admitted,and included 14 males and 4 femals with an average age of 31 years old ranging from 18 to 51 years old. The distal finger degloving injury was divided into 3 types according to the different levels of degloveing digital artery and skin involving 6 fingers of typeⅠ,10 fingers of typeⅡ,3 fingers of typeⅢ. A-mong them,3 cases of 4 fingers were failed to be replantaed due to severed injured digital artery,and 15 cases of 15 distal finger degloving injury were replanted with microsurgical technique. Results:Among 15 patients (15 fingers) conpleted the reimplant operation,13 fingers were survived,2 fingers were necrosis after operation. Thirteen survived fingers were followed up from 6 to 24 months (averaged 14 months). The appearance of injured fingers and nails obtained satisfactory results. According to Chinese Hand Surgery Society Criteria for function assessment replantation,the results were excellent in 9 cases,good in 3 cases and poor in 1. Conclusion:Replantation of distal degloving injury is effective and it should strive for replantation.
