同蒂[母]甲瓣和第2趾胫侧皮瓣瓦合修复拇指末节脱套伤长期随访一例  

Long term follow-up of a degloving injury of distal thumb repaired with a combined wrap-around flap of hallux nail flap and tibial flap of the second toe:A case report

作　　者：刘胜哲 巨积辉[1] 柳志锦 张向南 程俊楠 侯瑞兴[1] LIU Shengzhe;JU Jihui;LIU Zhijin;ZHANG Xiangnan;CHENG Junnan;HOU Ruixing(Department of Hand Surgery,Ruihua Affiliated Hospital of Soochow University,Suzhou,Jiangsu Province 215104,China)

机构地区：[1]苏州大学附属瑞华医院手外科,江苏苏州215104

出　　处：《中华显微外科杂志》2021年第2期234-236,共3页Chinese Journal of Microsurgery

基　　金：江苏省苏州市民生科技项目(SS202092)。

摘　　要：拇指末节脱套伤作为手外科常见的损伤,脱套组织往往毁损严重缺少再植条件,往往采用残端修整、局部皮瓣覆盖、游离第2趾再造等方式治疗,不可避免的造成末节指骨短缩、整个足趾的牺牲和修复外形欠佳等后果。[母]甲瓣被认为是治疗此种损伤的首选术式,但是传统[母]甲瓣切取足趾范围过大,供区并发症多。2010年4月,我院采用同蒂[母]甲瓣和第2趾胫侧皮瓣瓦合修复拇指末节脱套伤1例,随访10年,患者拇指外观与功能恢复良好。Degloving injury of distal thumb is common in hand surgery.Generally,the degloving tissue is severely damaged without conditions for replantation.It is often treated by methods of stump revision,local flap coverage,free second toe reconstruction,and so on.It inevitably leads to a shortening of distal phalanx,sacrifice of the whole toe and poor appearance after repair.The hallux nail flap is considered to be the best to treat this kind of injury.However,the traditional wrap-around flap excises the toe in a large range and has many complications in the donor site.In April,2010,a case of degloving injury of the distal thumb was repaired with a combined wrap-around flap of the hallux nail flap and the tibial flap of the second toe.The patient was followed-up for 10 years in our hospital.Both of the appearance and function of the patient's thumb are well recovered.

关 键 词：[母]甲瓣 拇指再造 拇指脱套伤 修复 

分 类 号：R658.2[医药卫生—外科学]