Different types of hand finger island flap in the far section of Injury.docVIP

 PAGE \* MERGEFORMAT 10 Different types of hand finger island flap in the far section of Injury 【Key Words】 hand finger flap is far different types of injury Festival In the work, the fingers were crushed long festival, cutting or electric shock injuries were more common. Our hospital since September 1999 to July 2007 using different types of island flap to repair soft tissue defects of the fingers long section of 33 cases (43 refers), to achieve better efficacy, the report is as follows. A clinical data 1.1 General information on this group of 33 cases (43 index) in male patients with 22 cases (31) means that 11 females (12) means; aged 18 to 62 years, an average of 30.4 years. Injury areas: the thumb 10 means that 18 refers to the index finger and middle finger 12 refers to ring finger 2 refers to the little finger one refers to the soft tissue defect reasons: (1) crush injury; (2) cut injury; (3) electrical burns; ( 4) post-traumatic necrosis of skin infections, including electrical burns his hands after the thumb, index finger, while 4 ° injury in 2 cases (8 refers), crush injury, after food, while the middle finger injury, soft tissue defects in 4 cases (8 refers). 1.2 surgical methods according to a finger injury is far section of the site selection of soft tissue defects of the following methods to repair. (1) The thumb is far section of dorsal or radial or pulp of soft tissue defects, the choice at hand thenar superficial branch of radial nerve nutrient vessel retrograde island flap repair wounds, in which pulp repair soft tissue defects in the radial nerve when the superficial branch stump with the thumb side of the mean nerve anastomosis; (2) long section of the thumb ulnar soft tissue defect, select the index finger dorsal rotation flap repair the wound [1]. Full-thickness skin graft donor site dressing packaged pressure; (3) long section of the radial side of index finger or the pulp of soft tissue defects, select