진피지방이식술을 이용한 외상 후 수지첨부 동통의 교정

Correction of Post-traumatic Fingertip Pain with Dermofat Graft

  • 김정현 (광명성애병원 성형외과) ;
  • 김진수 (광명성애병원 성형외과) ;
  • 이동철 (광명성애병원 성형외과) ;
  • 기세휘 (광명성애병원 성형외과) ;
  • 노시영 (광명성애병원 성형외과) ;
  • 양재원 (광명성애병원 성형외과)
  • Kim, Jung Hyun (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital) ;
  • Kim, Jin Soo (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital) ;
  • Lee, Dong Chul (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital) ;
  • Ki, Sae Hwi (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital) ;
  • Roh, Si Young (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital) ;
  • Yang, Jae Won (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital)
  • 투고 : 2005.02.12
  • 발행 : 2005.07.10

초록

Fingertip is the end of tactile organ and the part of hand most frequently injured. Fingertip injuries should be evaluated on an individual basis considering patient's overall physical condition, medical history, etiology, time of injury, and anticipated future hand use, and accordingly one of various methods of reconstruction should be selected. Complications after the reconstruction of fingertip injuries have been reported as pain, hypersensitivity, numbness, distal paresthesia, cold intolerance, and atrophy. From January to December 2002, dermofat grafts were performed on 15 patients to correct painful fingertips after injury. The thickness of the soft tissue of fingertip was measured both preoperatively and postoperatively with simple X-ray. To evaluate the improvement of pain, visual analogue scale(VAS) was used through the direct interview with patients. The average of postoperative follow-up period was 10.9 months. The average of increased soft tissue thickness ratio was 88.4%(2.3mm to 3.8mm). The average of preoperative VAS was 7.6, and postoperative VAS was 3. Dermofat graft on fingertip needs a further long-term follow-up study for the absorption ratio of dermofat, however, this procedure is simple and could be done under local anesthesia, and would be a useful alternative procedure to correct painful fingertips with the soft tissue atrophy after injury.

키워드

참고문헌

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