Clinical comparative analysis of traditional replantation and island flap pedicled with adjacent finger artery in the treatment of palmar cutaneous artery defect with replantation of severed finger
Objective:To compare and analyze the clinical effect of traditional replantation and island flap pedicled with adjacent finger artery in the treatment of palmar skin artery defect with severed finger replantation.Methods:The clinical data of 80 patients with palmar cutaneous artery defect with severed finger regrafting admitted to our hospital from January 2022 to January 2023 were retrospectively collected.Patients were divided into control group(conventional replantation,38 cases)and observation group(island flap pedicled with adjacent finger artery,42 cases)according to different treatment plans.After 6 months of treatment,the patients were invited back to the hospital for review,including the repair effect of the retransplanted finger,the survival of the retransplanted finger,and the function of the retransplanted finger.Results:The excellent rate of finger replantation repair in observation group was significantly higher than that in control group(P<0.05).The graft survival rate of observation group was significantly higher than that of control group,and the rate of vascular crisis and graft necrosis was significantly lower than that of control group(P<0.05).The nail length and the range of motion of the finger joint in the observation group were significantly higher than those in the control group,and the two-point resolution was significantly shorter than that in the control group(P<0.05).Conclusion:The island flap pedicled with adjacent finger artery can improve the repair effect of retransplanted finger,improve the survival of retransplanted finger and the function of retransplanted finger.
Traditional replantationIsland skin flap pedicled with adjacent finger arteryPalmar cutaneous artery defectReplantation of severed finger
NETL
NSTL
万方数据
