足趾移植再造手指术后外形的整形

Plastic intervention of fingers reconstructed by toe transfer

目的探讨足趾移植再造手指术后外形的整形方法。方法自2002年至今，对手指缺损采用第二足趾移植再造手指术后，伴有指腹、指体、指甲畸形的65例77指，联合应用骨、肌腱、局部皮瓣等显微外科方法，整形再造指的外形。结果术后再造指外形都得到一定的纠正，再造指外形满意，功能改善。术后再造指感觉无影响。结论足趾移植再造手指术后指腹、指体、指甲的外形畸形，通过显微外科技术进行整形能改善其外形和功能。

Objective To explore the methods of correcting malformation of reconstructed fingers in toeto-hand trmrsfer. Methods In a series of 77 reconstructed fingers in 65 cases of second toe-to-hand transfer since 2002, deformtities of finger pulp, shaft or fingernail were present. Plastic interventions included inserting local fasciecutaneous flap and adjusting the bone and tendon of the reconstructed fingers with mierosurgical techniques. Results The defomfities were corrected and outward appearance was improved. Function of the fingers was improved while the sensation was not compromised. Condusion Plastic intervention using mierosurgieat techniques to correct malformation of finger pulp, body and fingernail can improve the appearance and function of reconstructed fingers.