足部复合组织瓣桥接再植节段毁损型断指

Compound flaps of foot with joint transplantation bridging severed segmental damage type finger

目的 探讨足部复合组织瓣移植桥接修复节段毁损型断指的临床效果. 方法 2006年2月至2011年9月,对节段性复合组织毁损的断指,采用急诊游离带跖、趾骨或跖趾、趾间关节的足部复合组织瓣移植并桥接再植手指11例,供区采用第二跖骨远端截骨截趾术.按中华医学会断指再植评定标准评定疗效.结果 随访6个月-2年.术后11例复合组织瓣及断指均成活,外形满意,移植关节活动度指间关节属曲40°- 90°;掌指关节屈曲45°-65°,无骨不连及再骨折,指腹两点分辨觉为5-8mm.按断指再植功能评定试用标准评定,优3例,良6例,可2例. 结论 游离足部复合组织瓣移植桥接修复节段毁损型断指,可以最大限度的恢复断指的外形并恢复部分手指功能,满足患者日常生活的需要.

Objective To investigate the clinical effect of the compound flaps of foot with joint transplantation bridging severed segmental damage type finger.Methods Eleven cases with segmental composite tissue damaged fingers,emergency free with plantar metatarsal or metatarsophalangeal,interphalangeal joint of the foot com posite tissue flap transplantation and bridging replanted finger form February,2006 to September,2011 were retrospective reviewed in our study.The therapeutic effect was evaluated according to the assessment standard of Chinese Medical Association of Hand Surgery.Results All patients were followed-up for 6 to 48 months.The composite flap and amputated fingers in the 11 cases were survived after surgery,with satisfactory appearance.Range of motion of interphalangeal joints from 40° to 90°,and metacarpophalangeal joints from 45° to 65°.There was no nonunion or refracture.Two-point discrimination of finger pulp was 5-8 mm.According to the Chinese Medical Society of Hand Surgery Trial upper part of the standard evaluation function assessment,the results were excellent in 3 cases,good in 6 cases,may in 2 case.Conclusion Compound flaps of foot with joint transplantation bridging severed segmental damage type finger could recover the appearance and functions of amputated fingers to satisfy the daily need of patients in a maximum degree.