[Application of wrap-around great toe flap combined with medial plantar artery perforator flap for completely degloved fingers].

作者：Lin Tang, Xin Zhou, Yu Huang, Bo Huang, Anming Liu, Xiaojun Chen, Yonggen Zou · 发表于：PubMed · 年份：2022 · DOI：10.7507/1002-1892.202111019 · 被引用次数：3 · 研究领域：Reconstructive Surgery and Microvascular Techniques、Reconstructive Facial Surgery Techniques、Organ and Tissue Transplantation Research

Objective: To investigate the effectiveness of the wrap-around great toe flap combined with medial plantar artery perforator flap (MPAP) for repairing the completely degloved fingers. Methods: Between February 2018 and December 2019, 12 patients with the completely degloved fingers caused by machine strangulation were admitted. There were 9 males and 3 females with a median age of 32 years (range, 18-42 years). The injured finger was index finger in 7 cases, middle finger in 3 cases, and ring finger in 2 cases. The skin was avulsed from the metacarpophalangeal joint level, with the intact tendon and joint. The interval between injury and admission was 1-8 hours (mean, 5 hours). All fingers were taken debridement during the emergency operation. The size of the skin defect ranged from 8.0 cm×5.0 cm to 12.0 cm×7.5 cm. After flap thinning, the wrap-around great toe flap (8.0 m×2.0 cm-12.0 cm×3.5 cm) and MPAP (8.0 cm×4.0 cm-12.0 cm×5.5 cm) were used to repair the degloved finger. The donor sites were repaired with the full-thickness skin graft or the flap. Results: . And 10 cases were rated as excellent and 2 cases as good according to the Michigan Hand Outcomes Questionnaire (MHQ). There was no complication such as pain from walking or skin ulceration at the donor site. The American Orthopaedic Foot and Ankle Society (AOFAS) score was excellent in 9 cases and good in 3 cases. Conclusion: Treating for the completely degloved fingers, the wrap-around great toe flap combined with MP...