Combined use of dorsal flap based on second toe and tibial flap for repairing the finger distal degloving injury
10.3760/cma.j.issn.1001-2036.2012.05.011
- VernacularTitle:第二趾甲背皮瓣与胫侧皮瓣瓦合修复手指中末节脱套伤
- Author:
Qiang ZHAO
;
Jihui JU
;
Ruixing HOU
;
Heyun CHENG
;
Tianliang WANG
- Publication Type:Journal Article
- Keywords:
Finger;
Degloving injury;
Free flap;
Foot;
Microsurgery
- From:
Chinese Journal of Microsurgery
2012;35(5):387-390,447
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the treatment method with combined dorsal flap based on the second toe and tibial flap for repairing the finger distal degloving injury.Methods From March 2008 to September 2011,our department chose treatment with combined use of free dorsal flap based on the second toe and contralateral second toe tibial flap for repairing finger distal degloving injury.The 11 fingers in 11 cases were treated and followed up after surgery.Results The flaps in 11 cases all survived; The donor site with skin grafting successfully healed; The follow-up was 4-15 months,averaged of 6 months.There was not obvious atrophy for the toe dorsal flaps in the finger back side and toe tibial flaps in the palm side.The finger pulp was full,the nails grew well and the appearance of the fingers was good.There was satisfactory sensory function restoration for finger pulp,two cases for S4,five cases for S3,three cases for S2 and 1 case for S1.The protective sensation was restored in the finger back for all the cases; the finger function was restored to normal; the foot donor site was healing well without scarring.Walking was completely normal.Conclusion It is an ideal treatment with combined use of free dorsal flap based on the second toe and contralateral second toe tibial flap for repairing finger distal.
