Refers to the retrograde island flap to repair the root pulp fingertip reconstruction.doc

 PAGE \* MERGEFORMAT 8 Refers to the retrograde island flap to repair the root pulp fingertip reconstruction [Abstract] Objective To study refers to the pulp roots of retrograde island flap in fingertip reconstruction methods and values. Methods From May 2005 to December 2006 14 cases of finger pulp defect by 18 that refers to the inherent action by the dorsal vein and a nerve branch retrograde pedicled island flap. Results In addition to an edge of a small amount of finger flap necrosis, the other flaps survived completely, flap shape, texture and elasticity were satisfied, no one refers to the excessive growth of scar and contracture occur. Conclusions that the roots of retrograde island flap for finger pulp repair of soft tissue injuries of various depths. [Keywords:] refers to the injury, surgical flap, repair Our hospital from May 2005 to December 2006 using the fingers of vascular pedicle island flap repair in 14 cases of emergency 18 refers to the finger pulp defect with satisfactory results, are reported below. 1 Clinical data 1.1 General Information of this group 14 cases, 10 cases of men and 4 women, aged 17 to 52 years, average 24.5 years old. The injured area: 5 refers to the right index finger, right middle finger 4-finger, right ring finger and two fingers, left index finger 4-finger, 2 refers to the left middle finger, left ring finger and a means, and 4 2 means (food, two fingers in 2 cases, the ring two fingers 2 cases). The causes of injury: the machine cuts in 8 cases, 4 cases and injury cutter machine , traffic accident in 2 cases. 1.2 Treatment Methods and means that the inherent arteriovenous dorsal branch of retrograde island flap pedicled. 1.2.1 Design of the flap means according to the body injured, much bruise and wound site section is whether the super-joints, pointing in the same neighborhood that the section of the root or lateral to that artery as the axis, draw the wound shape. Design flap should be slightly