수지부 역혈행성 도서형 피판-97례 임상분석

초록

Finger tip injuries represent the most common type of injuries seen in the upper extremity. Their managements are important functionally and aesthetically, but at the same time perhapse the most controversial. From July 1984 to January 1995, 97 fingers in 90 patients with defect of distal phalanx were reconstructed by reverse digital island flaps at the Korea University Guro Hospital. We reviewed the medical records of our cases and analyzed them in several aspects. In 16 cases neurorrhaphy was performed. Majority of the cases were covered primarily and 21 cases it was used for defect after composit graft or replantation. The survival of these flaps was successful in all cases except one case. 38 fingers in 36 patients were involved in long term follow up more then 6 months. Light touch and temperature sensation could be detected in all the evaluated flaps. The mean values of the static two-point discrimination in sensate and nonsensate flaps were 6.4 and 10.4mm retrospectively. Our patients were usually satisfied with the end result of these flaps aesthetically and functionally. We consider that reverse digital island flap is a safe and reliable procedure with high survival rate and an excellent choice for coverage of defect of distal phalanx.

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