Objective To summarize the clinical result of the use of radial dorsal of thumb neurocutaneous fascia pedicle flap for repairing the thumb pulp defect .Methods From May 2010 to January 2012,18 digital finger pulp soft tissue of thumb were repaird in our de-partment.The dorsal cutaneous nerve of thumb was coapted with the hurt finger's inherent nerve.Results Eighteen cases of flap survived completely,only 2 cases with pale skin flap after given heat preservation ,vasodilators and symptomatic treatment were gradually restored .After skin off,donor site healed naturally ,skin graft survived completely.Fifteen cases were followed up from 4 months to 18 months with fine tex-ture,not clumsy,good shape and the sensation with 2-PD was of 5~10mm.Conclusion The radial dorsal of thumb neurocutaneous fascia pedicle flap is a ideal method for the thumb pulp defect ,with good shape,constant anatomical position ,simple operation,small injury of donor site,and postoperative sensory recovery satisfaction .

Objective Study the effective treatments of the different types in the fracture of distal radius.Methods Based on the analyses of the treatments of 160 cases with the fracture of distal radius,the authors divide these cases into three groups-A,B and C according to AO.The three groups are treated respectively by closed manipulative reduction combined with plaster immobilization,external fixation with external fixer and open reduction with T plate internal fixer.Reduction score and function score are rated to indicate the treatment effects and the good rate of reduction score and function score in these different fixer ways are compared.Results All the 160 cases are followed-up after the operations,and the average time for follow-ups is 11 months(ranges from 6 to 12 months).Among the three groups,there are no significant differences in the good rate of the reduction score of fractures and the function score of fractures between type A and type B.According to both reduction score and function score in group C,the good rate of the group treated with T plate internal fixer is superior to the other two groups.Conclusion Type C fracture is suggested to be treated with open reduction with T plate internal fixer while for type A and type B fractures,closed manipulative reduction combined with plaster immobilization can get a better clinical effect.