Reverse homodigital artery flap coverage for bone and nailbed grafts in fingertip amputations
Reverse homodigital artery flap coverage for bone and nailbed grafts in fingertip amputations
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DOI：
10.1097/01.sap.0000200086.24613.da
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发表时间：
2006-03-01
影响因子：
1.5
通讯作者：
Sensoz, O
中科院分区：
文献类型：
--
作者：
Alagoz, MS;Uysal, CA;Sensoz, O
无再植指征的指端离断伤治疗的主要目的是建立功能和美学结构。利用骨和指甲组织作为移植物进行重建的关键点是选择一个血管充足的皮瓣来滋养这些移植物。我们已施行同侧指动脉皮瓣来覆盖截肢后的骨及甲床移植物，以恢复指尖功能，结果可接受。静脉功能不全增加了皮瓣失败的可能性。我们建议保留一定量的血管蒂周围的软组织，以克服静脉功能不全，在我们看来，手指动脉牺牲是值得的，以保持手指的长度和美观的指甲外观。
The main aim of the treatment of fingertip amputations with no indication of replantation was to establish the functional and esthetic construction. The critical point in the utilization of the bone and nail tissue as a graft for reconstruction was to choose a flap that is sufficiently vascular to nourish these grafts. We have performed homodigital artery flaps to cover the bone and nailbed grafts taken from the amputation to restore fingertip function with an acceptable result. The venous insufficiency with the increased probability in flap failure should be taken into consideration. We proposed the preservation of some amount of soft tissue around the vascular pedicle to overcome the venous insufficiency and in our point of view, digital artery sacrifice was worth it to preserve the length of the finger and the esthetic nail appearance.