关键词: 腹部多皮管, 多手指, 脱套伤

Abstract: [Abstract] Objective To summarize abdominal multiple tubed pattern flaps used for treatment of whole-finger degloving injury of multiple fingers(2 to 3). Methods Since 2006, 11 patients with whole-finger degloving injury of multiple fingers were treated with transfer of random abdominal tubed pattern flaps, abdominal wound were sutured at the first-stage operation and fingers were dissected with pedicels after 5 to 6 weeks. Results All the skin flaps survived. Two fingers of 2 cases had distal cutaneous necrosis after dissecting with pedicels and were scar healing after dressing change finally. Follow-up from 5 to 36 months showed the active motion of metacarpophalangeal articulations averaged 60°?, and interphalangeal joints averaged 15°. All fingers could perform grasping , therefore patients could handle with daily life and were satisfied with the contour of fingers. Conclusion Treatment of whole- finger degloving in jury of multiple fingers(2 to 3) with abdominal multiple tubed pattern flaps can restore the shape and function of hand to the greatest extent and is a practical safe and convenient operative method. [Key word] Abdominal multiple tubed pattern flaps; multiple fingers; degloving injury

Key words: Abdominal multiple tubed pattern flaps, multiple fingers, degloving injury