足第二趾再造手指的重塑整形

The plastics of finger reconstruction using second toe

目的探索足第二趾再造手指一期重塑整形的方法。方法对6例6指Ⅲ～Ⅳ度缺损，行足第二趾移植再造手指，术中同时行足第二趾“指腹”和“颈部”部位的三角皮瓣转换整形术来重塑外形。结果6例6指再造手指和局部改形三角皮瓣均成活。5例经8～15个月随访，再造手指外形得到明显改善。指腹感觉恢复良好，两点辨别觉为8～10mm。患者比较满意。结论一期行局部三角皮瓣转移重塑再造手指外形，解决了再造指“指腹”膨大和掌侧“颈部”狭窄的外形缺陷，临床疗效较好。

Objective To evaluate a method of the finger reconstruction with second toe in primary operation. Methods Six patients with Ⅲ～Ⅳ° defect of fingers received the reconstructive transplantation using the second toe. A triangular flap plastic surgery, was also performed at the ＂pulp＂ and ＂neck＂ of the second toe for the reconstruction. Results Finger reconstruction and local triangle skin all survived. Five patients were followed from 8 months to 15 months, the shape of the reconstructed finger got a good looking. Pulp sensory recovery was good, 2-PD reached 8-10 mm. The patients were satisfied. Conclusion Local triangle skin flap transfer and finger reconstruction in primary operation is a good method to improve the shape of reconstructed finger, which avoid the shape defect in enlargement pulp and narrow hand palm. The clinical outcomes are satisfying.