PDF(Pubmed)
Abstract：
Fingertip injury is the most common type of upper extremity injury. Operative treatment with flap cover is required for tissue loss causing bone exposure and when there is a compelling need to preserve the length, unless microvascular replantation is possible. There are many techniques described for this purpose offering varying degrees of good outcomes. Yet there are limitations and long-term problems. We report a case series with a novel technique named \"Colombo flap,\" which is a neurovascular islanded advancement flap based on a single pedicle. Five fingers of four consented patients were operated using this technique and they were followed up for 2.5 years. All had satisfactory sensory recovery (S3 +/S4), preserved range of motion (ROM) at interphalangeal joints, good grip strengths, and satisfactory outcomes based on Michigan Hand Questionnaire (MHQ). There were no complications such as flap necrosis, infection, and neuroma formation. Hook nail deformity was minimal and none had pain or cold intolerance.
摘要：
指尖损伤是最常见的上肢损伤类型。对于导致骨暴露的组织丢失，需要使用皮瓣覆盖进行手术治疗，并且当迫切需要保留长度时，除非微血管再植是可能的。为此目的描述了许多技术，提供了不同程度的良好结果。然而，存在局限性和长期问题。我们报道了一个名为“科伦坡皮瓣”的新技术系列病例，“这是一种基于单蒂的神经血管岛状推进皮瓣。使用此技术对四名同意的患者的五根手指进行了手术，并对其进行了2.5年的随访。全部感官恢复满意(S3+/S4),指间关节的运动范围（ROM），良好的抓地力，和满意的结果基于密歇根手问卷（MHQ）。无皮瓣坏死等并发症,感染,和神经瘤的形成。钩甲畸形很小，没有疼痛或不耐受寒冷。
