One-stage prosthetic dermal repair of skin defects in the donor area of the great toe nails flap

IF 2.2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured Pub Date : 2025-05-21 DOI:10.1016/j.injury.2025.112450

Lang-ye Liu , Fan-shu Meng , Song-gen Peng , Cheng-ke Li , Qiu-ling Lai , Sheng-shan Li , Min Liu , Jun-ming Fu , Jie-lai Yang , Xiang Wu

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引用次数: 0

Abstract

Purpose

This study aimed to evaluate the safety and efficacy of Pelnac artificial skin one-stage surgical direct repair of significant toenail flap donor area defects.

Methods

From March 2020 to May 2023, a total of 56 patients with traumatic finger injuries underwent reconstruction using a great toenail flap combined with iliac bone grafting, along with one-stage artificial skin repair of the great toenail flap. These patients were followed prospectively, and their clinical outcomes were systematically evaluated.

Results

The average follow-up was 13.4 months (3 to 30 months). The visual analog scale for pain was 0.23±0.6, and the Vancouver scar scale (VAS) was 2.82±1.06. Among 56 patients, only one case developed postoperative infections. The aesthetic satisfaction of the donor area of the patient's foot was 87.10±5.48 points (out of 100 points). Regarding the sensory recovery, the response “normal or near normal” was obtained in 44 patients (78.6 %). The maximum active mobility of the first metatarsophalangeal joint and the distal interphalangeal joint in the donor area was 66.51±7.38°and 43.21±4.62°, respectively.

Conclusions

Given its low donor-site morbidity and favorable cosmetic and functional outcomes, one-stage reconstruction of donor site defects using artificial dermis represents an effective and clinically viable treatment option.

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大趾甲皮瓣供区皮肤缺损一期修复的研究

目的评价Pelnac人工皮肤一期手术直接修复趾甲皮瓣供区缺损的安全性和有效性。方法2020年3月~ 2023年5月，对56例外伤性手指损伤患者行踇甲皮瓣联合髂骨移植重建，踇甲皮瓣一期人工皮肤修复术。对这些患者进行前瞻性随访，并对其临床结果进行系统评价。结果平均随访13.4个月（3 ~ 30个月）。疼痛视觉模拟评分为0.23±0.6，温哥华疤痕评分（VAS）为2.82±1.06。56例患者中仅1例发生术后感染。患者足供区美学满意度为87.10±5.48分（满分100分）。在感觉恢复方面，44例（78.6%）患者的反应为正常或接近正常。供区第一跖趾关节和远端指间关节的最大活动度分别为66.51±7.38°和43.21±4.62°。结论人工真皮一期修复供区缺损是一种有效的、临床可行的治疗方法，且供区并发症发生率低、美观、功能良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Injury-International Journal of the Care of the Injured 医学-急救医学

CiteScore

4.00

自引率

8.00%

发文量

699

审稿时长

96 days

期刊介绍： Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.