Repair of skin peeling and avulsion wound of distal finger

When the distal skin of the finger is detached from the sleeve, it should not be repaired with a skin graft. Although the free skin graft is easy to survive, but the joint will gradually become stiff, and because it is protected by the subcutaneous fat pad, it is difficult to wear and wear, so it can only be used as a temporary closure of the wound. It is also not advisable to insert the finger that peels off the skin into the chest wall or the subcutaneous peeling bag of the abdominal wall. Because the fingers of the detachment are separated from the chest wall or the subcutaneous pocket of the abdominal wall, it is difficult to perform the flap transplantation; and the injured limb and the body It takes too long to fix, and it is easy to leave joint pain or functional limitations that are difficult to recover. However, this method is relatively simple. When the patient's condition is serious, it can be temporarily used to temporarily close the wound, and then further treatment after the whole body condition is improved, such as the commonly used distal flap or distal tube repair. Treatment of diseases: hand trauma, open hand injury Indication The soft tissue of the hand is freshly damaged. Preoperative preparation 1. Injection of tetanus antitoxin. 2. Prophylactic antibiotics. Surgical procedure The donor site can be selected on the contralateral upper arm, forearm or chest wall, and the ratio of the length to width of the flap is 1.5:1 or 1:1. The wound is repaired and fixed after debridement. The donor site can be directly sutured or grafted according to the size of the skin.

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