EFFECTIVENESS OF PART LONG THUMB EXTENSOR TENDON DORSAL ULNAR ARTERY CHIMERIC FLAP FOR REPAIR OF Doyle TYPE Ⅲ MALLET FINGER OF THUMB_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHOUXiao , RUIYongjun ,  XUEMingyu , XUYajun , QIANGLi

Department of Hand Surgery, Wuxi No. 9 People's Hospital, Hand Surgery Hospital of Wuxi, Wuxi Jiangsu, 214062, P. R. China;

Corresponding?author：

XUEMingyu, Email: xuemingyu1010@sina.com

Keywords：

Thumb; Doyle type Ⅲ mallet finger; Tendon; Chimeric flap; Wound repair

DOI：

10.7507/1002-1892.20160190

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the effectiveness of part long thumb extensor tendon dorsal ulnar artery chimeric flap for repair of Doyle type Ⅲ mallet finger of thumb. Methods Between June 2013 and April 2015, 9 cases of Doyle type Ⅲ mallet finger of thumb were treated, which were caused by planer injury. There were 6 males and 3 females, aged from 15 to 65 years (mean, 36 years). The time from injury to operation was 3-8 hours (mean, 5 hours). All cases had interphalangeal joint dorsal skin and soft tissue defects of the thumb; the skin defects ranged from 2.0 cm×1.5 cm to 2.3 cm×2.3 cm; the extensor tendon defect ranged from 0.5 to 1.5 cm in length (mean, 1.0 cm). The part long thumb extensor tendon dorsal ulnar artery chimeric flap of 3.0 cm×2.5 cm to 3.5 cm×3.0 cm in size was used to reconstruct extensor tendon and wound. The donor site was repaired with nasopharyngeal fossa perforating branches pedicled V-Y relay flap. Results All flaps survived completely and incisions healed by first intention. All patients were followed up 4-12 months (mean, 6 months). The flaps had good color, texture, and contour. At 6 months after operation, the two-point discrimination of chimeric flap was 10-12 mm (mean, 11 mm), and two-point discrimination of relay flap was 12-14 mm (mean, 13 mm). The interphalangeal joint flexion of thumb was 0-40°, and the thumb opposition function was normal. Conclusion Part long thumb extensor tendon dorsal ulnar artery chimeric flap can repair the Doyle type Ⅲ mallet finger of thumb, which has no injury to the artery and nerve. At the same time the relay flap can achieve linear healing, so good appearance and function of the thumb can be obtained.

Citation： ZHOUXiao, RUIYongjun, XUEMingyu, XUYajun, QIANGLi. EFFECTIVENESS OF PART LONG THUMB EXTENSOR TENDON DORSAL ULNAR ARTERY CHIMERIC FLAP FOR REPAIR OF Doyle TYPE Ⅲ MALLET FINGER OF THUMB. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(8): 939-942. doi: 10.7507/1002-1892.20160190 Copy

1.	田光磊, 蔣協遠, 陳山林, 主譯.格林手外科手術學. 6版.北京:人民軍醫出版社, 2012:155-156.
2.	佟長貴, 童致虹, 梁海東, 等.指固有動脈背側穿支螺旋槳皮瓣修復指端缺損.中國修復重建外科雜志, 2016, 30(5):657-658.
3.	楊煥友, 楊振建, 賈松, 等.指血管神經肌腱移位一期再植治療拇指旋轉撕脫離斷.中國修復重建外科雜志, 2016, 30(3):394-395.
4.	Little JW. Neurovascular pedicle transfer of tissue in reconstructive surgery of the hand(revlewl). Bone J Surg, 1995, 38:17-21.
5.	Zhou X, Wang L, Mi J, et al. Thumb fingertip reconstruction with palmar V-Y flaps combined with bone and nail bed grafts following amputation. Arch Orthop Trauma Surg, 2015, 135(4):589-594.
6.	潘達德, 顧玉東, 侍德, 等.中華醫學會手外科學會上肢部分功能評定試用標準.中華手外科雜志, 2000, 16(3):130-135.
7.	周曉, 芮永軍, 薛明宇, 等.逆行拇橈側指背動脈筋膜蒂掌骨皮瓣修復拇指末節復合組織缺損.中華骨科雜志, 2013, 33(11):1104-1108.
8.	Neuhaus V, Thomas MA, Mudgal CS. Type Ⅱb bony mallet finger:is anatomical reduction of the fracture necessary? Am J Orthop (Belle Mead NJ), 2013, 42(5):223-226.
9.	Miranda BH, Murugesan L, Grobbelaar AO, et al. PBNR: Percutaneous blunt needle reduction of bony mallet injuries. Tech Hand Up Extrem Surg, 2015, 19(2):81-83.
10.	張智, 吳曉滿, 陸俊峰, 等.掌長肌腱轉移治療陳舊性錘狀指畸形.中國修復重建外科雜志, 2013, 27(6):726-728.
11.	朱立帆, 徐浩, 張曉劍, 等.錨釘修復法與改良縫合法治療錘狀指的療效比較.中國修復重建外科雜志, 2012, 26(9):1077-1080.
12.	張文蘋, 李文斌, 劉澤遠, 等.改良加壓石黑法治療骨性錘狀指的臨床研究.中國修復重建外科雜志, 2016, 30(6):705-708.
13.	丁自海, 王增濤, 鐘世鎮.皮瓣解剖學研究的三個階段.中華顯微外科雜志, 2010, 33(3):180-181.
14.	芮永軍, 徐建光, 顧玉東.以上肢淺表皮神經伴行血管為蒂的島狀皮瓣的解剖學研究.中華手外科雜志, 1997, 13(4):226-230.
15.	劉毅, 張誠, 蔡黔, 等.接力皮瓣修復足部遠端皮膚缺損.中國綜合臨床, 2003, 19(5):469.

1. 田光磊, 蔣協遠, 陳山林, 主譯.格林手外科手術學. 6版.北京:人民軍醫出版社, 2012:155-156.
2. 佟長貴, 童致虹, 梁海東, 等.指固有動脈背側穿支螺旋槳皮瓣修復指端缺損.中國修復重建外科雜志, 2016, 30(5):657-658.
3. 楊煥友, 楊振建, 賈松, 等.指血管神經肌腱移位一期再植治療拇指旋轉撕脫離斷.中國修復重建外科雜志, 2016, 30(3):394-395.
4. Little JW. Neurovascular pedicle transfer of tissue in reconstructive surgery of the hand(revlewl). Bone J Surg, 1995, 38:17-21.
5. Zhou X, Wang L, Mi J, et al. Thumb fingertip reconstruction with palmar V-Y flaps combined with bone and nail bed grafts following amputation. Arch Orthop Trauma Surg, 2015, 135(4):589-594.
6. 潘達德, 顧玉東, 侍德, 等.中華醫學會手外科學會上肢部分功能評定試用標準.中華手外科雜志, 2000, 16(3):130-135.
7. 周曉, 芮永軍, 薛明宇, 等.逆行拇橈側指背動脈筋膜蒂掌骨皮瓣修復拇指末節復合組織缺損.中華骨科雜志, 2013, 33(11):1104-1108.
8. Neuhaus V, Thomas MA, Mudgal CS. Type Ⅱb bony mallet finger:is anatomical reduction of the fracture necessary? Am J Orthop (Belle Mead NJ), 2013, 42(5):223-226.
9. Miranda BH, Murugesan L, Grobbelaar AO, et al. PBNR: Percutaneous blunt needle reduction of bony mallet injuries. Tech Hand Up Extrem Surg, 2015, 19(2):81-83.
10. 張智, 吳曉滿, 陸俊峰, 等.掌長肌腱轉移治療陳舊性錘狀指畸形.中國修復重建外科雜志, 2013, 27(6):726-728.
11. 朱立帆, 徐浩, 張曉劍, 等.錨釘修復法與改良縫合法治療錘狀指的療效比較.中國修復重建外科雜志, 2012, 26(9):1077-1080.
12. 張文蘋, 李文斌, 劉澤遠, 等.改良加壓石黑法治療骨性錘狀指的臨床研究.中國修復重建外科雜志, 2016, 30(6):705-708.
13. 丁自海, 王增濤, 鐘世鎮.皮瓣解剖學研究的三個階段.中華顯微外科雜志, 2010, 33(3):180-181.
14. 芮永軍, 徐建光, 顧玉東.以上肢淺表皮神經伴行血管為蒂的島狀皮瓣的解剖學研究.中華手外科雜志, 1997, 13(4):226-230.
15. 劉毅, 張誠, 蔡黔, 等.接力皮瓣修復足部遠端皮膚缺損.中國綜合臨床, 2003, 19(5):469.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF PART LONG THUMB EXTENSOR TENDON DORSAL ULNAR ARTERY CHIMERIC FLAP FOR REPAIR OF Doyle TYPE Ⅲ MALLET FINGER OF THUMB

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content