摘要
目的探讨改进第2趾游离移植再造拇指外形的方法。方法在切取第2趾之前，先切取其近端带蒂的全背侧皮甲瓣并留于足部．然后在游离第2趾时一同游离躅趾全背侧皮甲瓣，将躅趾全皮甲瓣与无背侧皮甲瓣的第2趾组装成为外形更近似拇指的组合足趾再造拇指。将第2趾全背侧皮甲瓣覆盖躅趾背侧创面，修复供区。结果手术12例（12指）全部成活，其中8例得到6～9个月随访，冉造拇指外观逼真（特别是背侧），其粗细、长度接近正常．外形及功能良好，优7例，良1例。躅趾的外观及功能无明显影响，行走感觉不适、有轻微疼痛者1例，但不影响行走及工作。结论应用此方法对供区破坏较小，设计合理，患者易接受，再造的拇指背侧外观无明显差异，是一种较理想的拇指再造方法。
Objective To investigate a more perfect method for a nice outward appearance of a reconstructed thumb. Methods A free one-stage plasty second toe transfer for thumb reconstruction by interchanging the whole skin-nail flap from the great toe with another one from the second toe. Results There were 12 cases in this group, following-up 6-9 months in 8 cases, 7 cases was excellent and 1 cases was good. The reconstructed thumb got a nice looking and more normal function while no blight to the great toe occurred. Conclusion It is an effective new procedure in ameliorating outward appearance of the reconstructed thumb by transferring the free moulded second toe.
出处
《中华显微外科杂志》
CSCD
北大核心
2008年第5期335-337,I0005,共4页
Chinese Journal of Microsurgery
基金
广东省科研基金立项课题（A2008701）
关键词
足趾
移植
全皮甲瓣
拇指
再造
显微外科
Toe
Transfer
Skin-nail flap
Thumb
Reconstruction
Microsurgery
