中国美容医学2024，Vol.33Issue(5)：24-26,3.
逆行掌背动脉穿支岛状皮瓣修复指背中近节骨关节外露创面
Reverse Dorsal Metacarpal Artery Perforator Island Flap was Used to Repair the Wound of Middle and Proximal Dorsal Phalanx with Bone and Joint Exposure
王会军 1步晓惠 1鲁冰 1齐荣荣 1向莉 1蒋永能 1李耀 1李建廷2
作者信息
- 1. 新疆克拉玛依中心医院烧伤整形科 新疆 克拉玛依 834000
- 2. 新疆克拉玛依中心医院烧伤整形科 新疆 克拉玛依 834000||新疆克拉玛依中心医院新疆消化系统肿瘤精准医疗临床医学研究中心 新疆 克拉玛依 834000||新疆克拉玛依中心医院新疆临床基因检测与生物医学信息重点实验室 新疆 克拉玛依 834000
- 折叠
摘要
Abstract
Objective To explore the curative effect of reverse dorsal metacarpal artery perforator island flap in repairing wounds of middle and proximal dorsal phalanx with bone and joint exposure.Methods From January 2016 to December 2021,reverse dorsal metacarpal artery perforator island flap was used to repair 25 cases of wounds with bone and joint exposure in the middle and proximal dorsal phalanx of fingers in author's department.There were 18 males and 7 females.The age ranged from 15 to 52 years(mean,32 years).The causes of injury included heavy object injury in 13 cases,machine crush injury in 10 cases,and electric injury in 2 cases.The injury site was middle and ring finger in 9 cases,little finger in 7 cases,middle finger in 6 cases,and index finger in 3 cases.The wound size ranged from 2 cm×3 cm to 3 cm×5 cm.Results All the 24 flaps in this group survived well,and the distal end of one flap turned purple.After dressing change,the wound healed and the operation effect was not affected.During follow-up of 3 to 12 months,the blood supply,texture,shape,and function of the flaps were good.Conclusion The exposed wounds of the middle and proximal phalangeal joints of the fingertip can be repaired with the retrograde island flap of the distal perforator branch of the back of the hand.The surgical trauma is small,the operation is relatively simple,and the second stage operation is not required.It can meet the requirements of the repair of the function and shape of the opponent.It is suitable for primary hospitals.关键词
手指/骨关节外露创面/掌背动脉穿支皮瓣/修复Key words
finger/exposed wound of bone and joint/dorsal metacarpal artery perforator flap/repair分类
医药卫生引用本文复制引用
王会军,步晓惠,鲁冰,齐荣荣,向莉,蒋永能,李耀,李建廷..逆行掌背动脉穿支岛状皮瓣修复指背中近节骨关节外露创面[J].中国美容医学,2024,33(5):24-26,3.
