V-Y Plasty in the Treatment of Fingertip Injuries

TAJ: Journal of Teachers Association Pub Date : 2020-12-31 DOI:10.3329/TAJ.V33I2.51347

Ismail Hossain, M. Salim, Insanul Alam, Habibul Hasan, Shahnaj Khatun

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Abstract

Background: Hand is a highly specialized organ as it has grasping, pinching and hooking function. The hand is prone to domestic and industrial trauma with fingertips being the most frequently injured portion of the hand. Fingertip injuries are commonly seen by emergency physicians Objectives: To see the functional outcome after V-Y flap in fingertip injuries. Methods: Prospective, observational study carried out for 2 years at National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR). Fifteen patients of fingertip injuries were selected for V-Y flap. Results: V-Y plasty was performed in 15 patients who suffered from a transverse amputation of the finger tip. Out of 15 patients, functional outcome was satisfactory (good) in 13(86.7%) cases and unsatisfactory (fair plus poor) in 2 cases (13.3%). 3 patients had postoperative complications. The results showed that V-Y plasty is indicated in transverse amputations through the distal one-third to one-half of the nail bed. Conclusion: Fingertip injury can achieve almost normal sensibility and satisfactory motion by V-Y flap and patients can expect to return to work on average approximately 3 weeks after operation. TAJ 2020; 33(2): 107-112

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V-Y成形术治疗指尖损伤

背景:手是一个高度专业化的器官，具有抓、捏、钩等功能。手部容易受到家庭和工业创伤，指尖是手部最常见的受伤部位。目的:观察V-Y皮瓣修复指尖损伤后的功能恢复情况。方法:在国立创伤与骨科康复研究所(NITOR)进行了为期2年的前瞻性观察研究。选择15例指尖损伤患者行V-Y皮瓣。结果:采用V-Y成形术治疗指尖横截15例。在15例患者中，13例(86.7%)功能结果满意(良好)，2例(13.3%)功能结果不满意(一般加差)。术后出现并发症3例。结果表明，V-Y成形术适用于通过远端三分之一到一半甲床的横向截肢。结论:V-Y皮瓣可使指尖损伤恢复基本正常的感觉和满意的运动，术后平均约3周可恢复工作。泰姬酒店2020;33 (2): 107 - 112

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TAJ: Journal of Teachers Association

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