Repair of fingertip injuries.doc

 PAGE \* MERGEFORMAT 10 Repair of fingertip injuries 【Abstract】 Objective for the finger injury to repair two different repair. Methods 39 cases of fingertip injury cases were used: in-situ cap-shaped suture, the first metacarpal fasciocutaneous reversed island flap and the dorsal lateral refers to the method of retrograde island flap repair. The results cap suture 27 cases of 30 means that all survived; retrograde island flap 12 cases all survived. Conclusion Ⅱ, Ⅲ type of injury is too small, should be OK cap suture; for the remote missing cases, retrograde island flap repair, as much as possible to retain the length of the fingers. Keywords: fingertip cap suture flap Fingertip injury is beyond nail root damage. Fingertips nerve more than the fingers of the most important sense of location, defect function and appearance of the fingers are serious. March 1995 ~ January 2002, we referred 39 cases of 42 fingertip injuries were repaired, and achieved satisfactory results are reported as follows. 1 Data and methods 1.1 General information 42 refers to 39 patients in this group, male 31 cases and 8 females, aged 21 to 48 years, with an average 29 years old. Cutting injury 27 cases of 30 means that 12 refers to 12 cases of crush injury. That do not: eight cases of thumb, index finger 122 cases, 11 cases of the middle finger, ring finger 9 cases, the little finger in 2 cases. Repair Methods: The in-situ cap-type repair 27 cases of 30 means; first dorsal metacarpal reverse fascial flap in 3 cases, mean lateral retrograde island flap in 9 cases. 1.2 surgical 1.2.1 cap suture by Yamano partitions [1], an area to mean arterial distal transverse palmar arch beyond the region, then a district is divided into three types: Ⅰ type is a broken nail and a half months away from the office, just wounded and finger arterial arch; Ⅱ type is the distance from the line of nail and a half months off, saying t