Clinical effect of lateral finger flap repair for replantation of severed fingers with skin defects
Objective To explore the clinical effect of lateral finger flap repair for replantation of severed fingers with skin defects (SD). Methods A total of 44 patients with replantation of severed fingers and SD were selected,and divided into the study group (n=22) and the control group (n=22). The control group received venous flap repair,and the study group received lateral finger flap repair. The surgical excellent rate,finger function,inflammatory cytokine levels,and postoperative complications in both groups were compared. Results The surgical excellence rate of 100.00％ (22/22) in the study group was higher than 72.73％ (16/22) in the control group (P<0.05). 1 month after surgery,the scores of joint voluntary motion,daily activity,appearance and blood circulation in both groups were higher than those before surgery;the scores of joint voluntary motion,daily activity,appearance and blood circulation were (16.94±2.25),(17.15±2.07),(18.05±1.77) and (8.33±1.48) points in the study group,which were higher than (15.02±2.34),(15.34±2.41),(16.43±2.52) and (7.26±1.36) points in the control group (P<0.05). 1 month after surgery,the levels of interleukin-6 (IL-6),C-reactive protein (CRP),tumor necrosis factor-α (TNF-α) and interferon-γ (INF-γ) in both groups were lower than those before surgery;the levels of IL-6,CRP,TNF-α and INF-γ were (162.37±12.43) ng/ml,(3.21±0.94) mg/L,(98.45±7.34) pg/ml and (441.26±15.44) ng/ml in the study group,which were lower than (171.86±14.31) ng/ml,(4.03±0.98) mg/L,(109.88±8.92) pg/ml and (500.87±17.32) ng/ml in the control group (P<0.05). The incidence of postoperative complications was 4.55％ (1/22) in the study group,which was lower than 36.36％ (8/22) in the control group (P<0.05). Conclusion The use of lateral finger flap repair in patients with replantation of severed fingers and SD can improve the surgical success rate,improve finger function and inflammatory cytokine levels,and reduce the incidence of postoperative complications.
Lateral finger flap repairSkin defectsReplantation of severed fingersClinical effects
万方数据
维普
