Clinical efficacy of artificial dermis in repairing skin and soft tissue defect of distal finger
ZHANG Xiangnan
LI Xiangrong
ZHOU Xiang
YU Junxing
QIN Jun
JIA Xuefeng
DU Hui
HU Gang
GAO Mingyang
Abstract：Objective To explore the application and clinical effect of artificial dermis in repairing skin and soft tissue defects at the end of fingers.Methods From March 2022 to March 2023,25 patients(27 fingers)with skin and soft tissue defects of distal fingers were repaired with artificial dermis in the Department of Hand Surgery of Jiangyin Hospital affiliated to Nantong University.The wound area was 0.5 cm × 1.0 cm～1.5 cm × 2.5 cm.After debridement,the artificial dermis covered the wound,changed dressing regularly after opera-tion,and the artificial skin was removed in 4 weeks.Results The wounds of 25 cases(27 fingers)repaired with artificial skin healed in one stage.During the follow-up of 6 to 18 months,the fingertips had soft texture,beautiful appearance,no obvious scar contracture,no pig-mentation and good finger movement function.The sensation of the flap recovered well and there was no cold sensitivity and tingling.The two-point discrimination was 3～8 mm.The activity of the distal interphalangeal joint is normal and the function of the opposite finger is good.According to the trial standard of upper limb function evaluation of hand surgery Association of Chinese Medical Association,the ex-cellent and good rate is 100％.Conclusion The operation of repairing skin and soft tissue defect of distal finger with artificial dermis is safe and simple,there is no donor site injury,the finger is full,the texture is soft,and the activity and sensory function recover well.It is a safe and reliable treatment method.
Keywords：Artificial dermisRepairTissue defectsWound healingFinger injury
Publication Date：2024-07-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 405-407,433 )