Clinical application of the technology of supercharging and making flap in Yamano area I type II replanta-tion of broken finger
10.3760/cma.j.issn.1001-2036.2019.05.009
- VernacularTitle:外增压及皮瓣化技术在Yamano I区II型断指再植的临床应用
- Author:
Liping GUO
1
;
Jihui JU
;
Kai WANG
;
Guangzhe JIN
;
Yadong LI
Author Information
1. 苏州大学附属瑞华医院手外科
- Keywords:
Replantation of broken finger;
Yamano I area;
Supercharging;
Making flap
- From:
Chinese Journal of Microsurgery
2019;42(5):455-458
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the clinical efficacy of the use of the technology of supercharging and making flap on Yamano area I type II replantation of broken finger. Methods From January, 2016 to June, 2018, 15 cases (16 fingers) of type II replantation of severed fingers in Yamano area I were treated. During the operation, 2 arteries in the severed fingers were anastomosed and supercharged outside the arteries. Bone fragments in the severed fingers were removed to make them flaps. The blood supply and long-term healing of replanted finger were observed after routine treatment including antiinfection, anticoagulation and antispasm in outpatient follow-up. Results Six-teen fingers of replantation of severed fingers survived smoothly.Followed-up for 6-12 months showed that there were no deformities in the surviving finger, good nail growth, full abdomen and recovery of pain and temperature. The static 2-PD was 7-9 mm.According to the Evaluation Criteria of Replantation Function of Severed Finger of Chinese Medi-cal Association Hand Surgery Society, 13 fingers were excellent and 3 fingers were good. Conclusion In the re-plantation of Yamano area I type II amputated finger, high survival rate and good healing effect can be achieved by using the technology of supercharging and making flap.
