北京大学学报（医学版）Issue(2)：326-329,4.DOI:10.3969/j.issn.1671-167X.2015.02.027
趾腓侧皮瓣在拇指指腹缺损修饰性再造中的临床应用
Clinical application of lateral great toe flap in decoratively reconstruction of thumb pulp defect
童德迪 1陈山林 1荣艳波 1吴乐昊 2朱珊2
作者信息
- 1. 北京积水潭医院，北京大学第四临床医学院手外科，北京 100035
- 2. 中国医学科学院整形外科医院，北京 100144
- 折叠
摘要
Abstract
Objective:To investigate the validity and the outcome of a new surgery method that utilizes lateral great toe flap to decoratively reconstruct the thumb pulp loss.Methods:From Jan.2009 to Jan. 2014 , 22 cases with unilateral thumb pulp defect were included, for whom, lateral great toe flap was de-ployed to reconstruct the thumb.Blood circulation was re-established by the anastomosis of the digital vessels of toes and fingers in 18 cases, the other 4 cases were conducted by a dorsal metatarsal artery and vein anastomosed to the deep branch of the radial artery and the dorsal metacarpal vein respectively; as for the nerve repair, toe-to-finger digital nerve anastomosis was performed.The donor sites were covered by full-thickness inguinal skin grafts.Results:All the 22 flaps survived without complications.With 6 to 12 months follow-up, the surviving fingers all presented aesthetically pleasant appearance with vivid loops and whorls.Normal functions like sweating were restored as well, and the two-point-discrimination ranged 3.0 to 6.0 mm (4.2 mm in average).The skin grafts to the donor sites healed uneventfully, the appearance and functions of the feet were unaffected.Conclusion: Lateral toe flap should be the first-line choice for reconstructing thumb defect, as it conveniently restores both functions and outlook.关键词
拇指/指损伤/趾/外科皮瓣/修复外科手术Key words
Thumb/Finger injuries/Toes/Surgical flaps/Reconstructive surgical procedures分类
医药卫生引用本文复制引用
童德迪,陈山林,荣艳波,吴乐昊,朱珊..趾腓侧皮瓣在拇指指腹缺损修饰性再造中的临床应用[J].北京大学学报（医学版）,2015,(2):326-329,4.
