十指缺损再造四指一例

Reconstruction of 4 digits with defect of 10 digits:A case report

2014年3月,收治1例双手10指缺损的患者,采用双足 甲瓣联合髂骨再造双手拇指、双足第2足趾再造右示指及左中指、双侧旋髂浅动脉穿支皮瓣(SCIPF)修复双足供区的手术方式进行修复。根据DASH上肢功能评分系统进行功能评价,术后6年半,双手功能改善明显,而双足的功能未见明显影响。

A patient recovered partial hand functions by 4 reconstructed digits based on a pair of complete defect hands that lost all of 10 digits on March,2014.The thumbs were reconstructed with bipedal nail flaps combined with iliac bone,the right index finger and left middle finger were reconstructed with the 2nd toes of feet.Bilateral superficial circumflex iliac artery rerforator flaps(SCIPF)were taken to repair the donor areas of feet.According to the DASH-Chinese upper limb function score system,the function of both hands was obviously improved in six and a half years after surgery.The function of both feet was not significantly affected.