피하조직내 매몰법을 이용한 수지첨부 절단부의 재접합술

Abstract

The microsurgical technique in the reconstruction and replantation at various amputated parts of the body has recently been advanced and rooted as inevitable and necessary basic operative procedure in the field of plastic and reconstructive surgery. Although the success rate in the replantation of amputated digits at the proximal and middle phalanx is high, the result of microreplantation of finger amputation at the level of distal phalanx has been unsatisfactory, especially in cases involving amputations through the region between the DIP joint and lunula. The authors have obtained good results by using the method of subcutaneous pocketing, and report clinical cases along with al review of the references. From August, 1991 to August, 1993 there were 8 cases of finger amputations at the level between the DIP joint and lunula, and instead of implementing microvascular replantation, the authors performed subcutaneous pocketing of amputated distal phalangeal parts after deepithelization, nail extraction and fixation.