Hand skin avulsion of the emergency repair retrograde.docVIP

 PAGE \* MERGEFORMAT 14 Hand skin avulsion of the emergency repair retrograde Author: Ying-Xi Liu, Zhou Rong, Li Xiaohua, Wang Wei, Min Jie, HOU Ming-Chung Abstract: [Objective] To assess the hand skin avulsion of the emergency repair retrograde effect. [Method] since May 2000 ~ March 2005, after careful debridement, according to flap degree of injury, location and retrograde pedicle flaps and bleeding edge avulsion of skin of hand application of retrograde venous anastomosis, and Xiu-subdermal vascular network skin flap situ replantation, and the skin to fully repair emergency drainage in 18 cases, while fixed-line fractures and tendon repair. [Results] 15 cases of avulsion of skin survived completely, 3 cases of postoperative small area of skin necrosis healed by dressing, hand shape and functional recovery satisfaction. [Conclusion] The application of this method retrograde emergency repair of hand skin avulsion, can maximize the skin to restore vitality and function of injury, the treatment of such injuries a good surgical option. Keywords:: hand injuries; skin avulsion injury; flap; Repair Hand skin avulsion injuries retrograde surgical treatment of clinically common and more difficult repair of hand injuries, allowing for simple and sutured the skin avulsion, skin necrosis often occur. If the removal of a separate skin flap of skin avulsion, surgical complex and large wounds. May 2000 ~ March 2005, the author uses anastomosis avulsed flap vein and converting them into subdermal vascular network skin flap method of in situ reimplantation emergency repair of hand skin retrograde avulsion in 18 cases, results were satisfactory. Are reported as follows: 1 Data and methods 11 General Information The group of 10 males and 8 females; aged 18 to 46 years, mean 32 years old. Injury causes: machine drum rolled nine cases of injury, the machine belt injury in 6 cases crushed, press dough machine rolling two cases of injury, ac