Objective To compare the clinical effects of the dorsal branch-chain flaps of proximal or middle segment digital artery in repairing fingertip defects.Methods Forty-six patients with fingertip defects were divided into proxi-mal segment donor site group(24 cases were repaired with dorsal branch-chain flaps of proximal segment digital arter-y)and middle segment donor site group(22 cases were repaired with dorsal branch-chain flaps of middle segment dig-ital artery),according to the flaps location.The flexion range of motion of injured finger joint,static and dynamic two-point discrimination,cold intolerance severity score,monofilament test and pain VAS were compared between the two groups.Results All patients were followed up for 12～20 months.All flaps and skin grafts survived in the two groups,and the donor sites healed in one-stage.There was no obvious redundancy,retraction,pigmentation of the flaps,and the texture was good.At last follow-up,there were no statistical differences in flexion range of motion of in-jured finger joint and cold intolerance severity score between the two groups(P＞0.05).The static and dynamic two-point discrimination and monofilament test in the middle segment donor site group were all lower than those in the proximal segment donor site group(P＜0.05).The pain VAS in the middle segment donor site group was lower than that in the proximal segment donor site group(P＜0.05).Conclusions Compared with the proximal segment donor site,the dorsal branch-chain flaps of middle segment digital artery can repair the fingertip defect,and the sensory function of fingertip is better.
关键词
外科皮瓣/指动脉背侧支血管链皮瓣/指端缺损/感觉重建
Key words
surgical flaps/dorsal branch-chain flaps of digital artery/fingertip defects/sensory reconstruction
维普
万方数据