Situ suture fixation combined with embedding method in treatment of complete amputation of fingertip distal to nail semilunar line / 中国现代医生

ABSTRACT

Objective To explore the treatment outcome of in situ suture fixation combined with embedding method in the treatment of complete amputation of fingertip distal to nail semilunar line. Methods From Jan 2008 to Jan 2013, 36 cases (40 fingers) with complete amputation of fingertip distal to nail semilunar line in our hospital. After thorough de-bridement, removal of the nail and stratum corneum, internal fixation, skin and soft tissue in situ suture, cut 2 to 3 knivies to the subcutaneous in the abdomen and edge of the distal finger, then the wounded finger was buried in the subcutaneous of the lateral thoracic or abdominal wall, take out the wounded finger after 16 to 35 days. Results 36 cases (40 fingers), 38 fingers survived, 1 case happened partial necrosis (used adjacent finger flap), 1 case happened complete necrosis. The postoperative follow-up for 3 months to 2 years, the blood transport, elasticity, appearance and activity of the fingertips were good, pain and temperature sensation recovery, finger function recovery well. Conclusion For the repair of the complete amputation of fingertip distal to nail semilunar line, in situ suture fixation combined with em-bedding method is simple and practical, the treatment outcome is also good, it is especially suitable for fingertip ampu-tation, which blood vessel can not be repaired, and primary hospital without fiber anastomosis technique.