同指末节掌侧筋膜瓣联合断层甲床移植治疗AllenⅢ型指端损伤  

Repair of AllenⅢfinger tip injuries by using the volar fascial flap of the end segment of the same finger combined with split-thickness nail bed graft

作　　者：戴国光[1] 郭召奇 孙中业 李海清[1] DAI Guoguang;GUO Zhaoqi;SUN Zhongye(Department of Hand and Foot Surgery,People's Hospital of Liaocheng City,Liaocheng,Shandong,252000,China)

机构地区：[1]聊城市人民医院手足外科,山东聊城252000

出　　处：《实用手外科杂志》2023年第1期62-64,86,共4页Journal of Practical Hand Surgery

摘　　要：目的评估同指末节掌侧筋膜瓣联合断层甲床移植治疗AllenⅢ型指端损伤的临床疗效。方法2019年12月-2021年10月,收治9例生发基质完整的AllenⅢ型指端损伤患者,采用同指末节掌侧筋膜瓣联合断层甲床移植进行治疗,术后随访并评估治疗效果。结果9例患者移植筋膜瓣及甲床均成活良好。患指关节屈伸活动正常,指端软组织饱满,无贴骨瘢痕及骨外露,指端感觉正常。甲上皮及甲下皮无瘢痕形成,再生甲板外观良好,甲床供区未见畸形残留及功能障碍。结论同指末节掌侧筋膜瓣联合断层甲床移植术可以作为目前众多甲床重建术式的一种备选方案在临床推广应用。Objective To evaluate the result of the end segment of homodigital volar fascial flap combined with split-thickness nail bed graft on the treatment of AllenⅢfinger tip injuries.Methods From December 2019 to December 2021,9 patients with AllenⅢfinger tip injuries which the germinal matrix was intact were enrolled.A surgical method,the end segment of homodigital volar fascial flap combined with split-thickness nail bed graft,was applied in all patients.Postoperative follow-up and evaluation of Clinical outcomes were made.Results The 9 patients with fascial flap and nail bed transplantation survived well.The flexion and extension activities of the affected finger were normal,the soft tissue of the damaged finger tip was full,there was no attached bone scar and bone exposure.The sensation of damage finger was normal.There was no scar in the eponychium and hyponychium,the regenerated nail plate had a good appearance.No malformation or dysfunction were found in the donor area of nail bed.Conclusion The end segment of homodigital volar fascial flap combined with split-thickness nail bed graft can be used as an alternative of many nail bed reconstruction methods,which can be popularized and carried out in clinic.

关 键 词：同指 缺损 筋膜瓣 甲床 移植 

分 类 号：R658.2[医药卫生—外科学]