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find Author "卢俊岳" 3 results
  • 指固有动脉中段背侧支岛状皮瓣移位修复指间关节背侧皮肤软组织缺损

    目的 总结指固有动脉中段背侧支岛状皮瓣移位修复指间关节背侧皮肤软组织缺损的疗效。 方法 2008年3月-2012年5月,收治36例38指指间关节背侧皮肤缺损患者。男19例20指,女17例18指;年龄17~63岁,平均38岁。损伤原因:挤压伤10例,压砸伤6例,热压伤2例,机器绞伤8例,电锯伤7例,交通事故伤3例。病程1 h~34 d,平均4 h。损伤指别:示指9指,中指13指,环指11指,小指5指。皮肤缺损范围为0.6 cm × 0.4 cm~2.1 cm × 1.8 cm。采用大小为0.7 cm × 0.5 cm~2.3 cm × 2.0 cm的指固有动脉中段背侧支岛状皮瓣移位修复。供区行全厚皮片打包缝合。 结果术后皮瓣及供区植皮均成活,创面Ⅰ期愈合。36例均获随访,随访时间6个月~1年11个月,平均10个月。皮瓣质地、色泽、外形良好。末次随访时,指关节采用手部总主动活动度(TAM)评价法评定:获优29指,良8指,可1指,优良率达97.4%。 结论采用指固有动脉中段背侧支岛状皮瓣移位修复近、远侧指间关节背侧皮肤软组织缺损,是一种较理想的方法。

    Release date:2016-08-31 04:07 Export PDF Favorites Scan
  • Transferring the ulnaris proper digital nerve of index finger and its dorsal branch to repair the thumb nerve avulsion

    Objective To investigate the effectiveness of transferring the ulnaris proper digital nerve of index finger and its dorsal branch to repair the thumb nerve avulsion. Methods Between January 2007 and May 2015, 23 patients with thumb nerve avulsion were treated by transferring the ulnaris proper digital nerve of index finger and its dorsal branch. There were 17 males and 6 females with an average age of 32 years (range, 16-63 years). The injuries were caused by machine twist in 10 cases, electric saw in 8 cases, and sharp article prick in 5 cases. And thumb rotational avulsion amputation happened in 8 cases, thumb incomplete amputation in 2 cases, laceration of thumb palmaris with the thumb nerve avulsion of both sides in 13 caese (7 cases with tendon rupture). The time from injury to operation was 1.0-3.5 hours (mean, 2.2 hours). Results All incisions healed by first intention. Ten cases of thumb reimplantation were successful. All the patients were followed up for 5 months to 2 years and 8 months, with an average of 1 year and 4 months. Two-point discrimination was 3-9 mm (mean, 6.8 mm). According to Society of Hand Surgery standard for the evaluation of upper part of the function, the sensory of the thumb was rated as S4 in 18 cases and \begin{document}${{\rm{S}}_{\scriptsize{3^ + }}}$\end{document} in 5 cases; the sensory at donor sites recovered to S3. Conclusion Transferring the ulnaris proper digital nerve of index finger and its dorsal branch to repair the thumb nerve avulsion is a simple and effective method to restore sensory function of the thumb pulp.

    Release date:2017-08-03 03:46 Export PDF Favorites Scan
  • REPAIR OF DEGLOVING INJURY OF FINGERTIP WITH VASCULAR PEDICLED CROSS FINGER FLAP

    Objective To investigate the effectiveness of cross finger flap pedicled with the dorsal branch of proper digital artery in repairing degloving injury of the fingertip. Methods Between January 2010 and June 2012, 13 cases of degloving injury of single fingertip were treated, including 9 males and 4 females with an average age of 33.6 years (range, 17-46 years). The defect locations were index finger in 5 cases, middle finger in 3 cases, ring finger in 3 cases, and little finger in 2 cases, including 4 cases of mechanical injury, 6 cases of twist injury, and 3 cases of crushing injury. The extent of skin avulsion was beyond the distal interphalangeal joint. The length of the avulsion was 1.0-2.1 cm (mean, 1.8 cm). Complicated injuries included phalangeal fracture in 2 cases. The time from injury to operation was 90-330 minutes (mean, 150 minutes). The wound was repaired with the cross finger flap pedicled with the dorsal branch of proper digital artery. The size of flaps ranged from 3.2 cm × 2.3 cm to 4.2 cm × 3.1 cm. After 3-4 weeks, the pedicle was cut. The donors were closed by skin graft. Results Tension blisters of the flap and partial necrosis of skin graft occurred in 3 cases and in 1 case respectively, which were cured after symptomatic treatment; the flap and skin graft survived, and primary healing was obtained in the other cases. Thirteen patients were followed up 6-10 months (mean, 7 months). The texture and appearance of all the flaps were satisfactory. At 6 months after operation, two-point discrimination ranged from 7 to 10 mm (mean, 8.1 mm). The total active movement of the fingers were excellent in 10 cases and good in 3 cases, and the excellent and good rate was 100%. Conclusion The treatment of degloving injury of fingertip with the cross finger flap pedicled with the dorsal branch of proper digital artery is recommendable for the advantages of reliable blood supply, simple operation, high survival rate of the flap, good function recovery of the finger, and satisfactory appearance.

    Release date:2016-08-31 10:53 Export PDF Favorites Scan
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