关键词: 指, 趾, 足, 脱套伤, 外科皮瓣

Abstract:

Objective　To explore the treatment of class I degloving injuries of fingers with the free wrap-around flap of the second toe and the tibial flap of the opposite second toe.    Method　From March, 2009 to June, 2012, our department used the free wrap-around flap of the second toe and the tibial flap of the opposite second toe to repair class I degloving Injuries of fingers in 13 cases. All caes were followed up.    Results   After 6~24 months of follow-up, flaps underwent no significant atrophy, reconstructing full pulps; fingers were in good shape With nails growing well. The two-point discrimination was 6 to 10mm. According to the functional evaluation criteria by the Hand Surgery Society of Chinese Medical Association, the functional results were satisfactory in all patients (excellent in 8 cases, good in 4 cases, and satisfactory in 1 case ), achieving an excellent and good rate of 92.3%. Donor sites of the toes healed well without scar contracture and no gait disturbance.    Conclusion    Using free wrap-around flaps of the second toe and tibial flaps of the opposite second toe to repair class I degloving Injuries of fingers is an ideal method.

Key words: Fingers, Toes, Foot, Degloving injury, Surgical flaps