摘要
目的探讨采用游离第2趾联合足背皮瓣再造拇指的临床修复效果。方法2010年1月-2011年11月，对8例拇指Ⅳ°缺损并伴拇指周围大面积皮肤软组织缺损患者采用游离第2趾联合足背皮瓣的方法再造修复。结果8例8指再造拇指及其所携带的足背皮瓣全部成活。受区创口及皮瓣供区切口均一期愈合。随访6-32个月，再造拇指外形恢复满意，指端皮肤感觉好，皮瓣质地柔软，无臃肿。按照中华医学会上肢部分功能测定标准评定：优4例，良3例，可1例，优良率为87．5％。结论对于拇指Ⅳ°缺损并伴拇指周围大面积皮肤软组织缺损患者，采用游离第2趾联合足背皮瓣进行再造，不仅再造手指功能恢复良好，且可一期完成拇指皮肤软组织缺损的修复．值得临床推广应用。
Objective To investigate the application and clinical result of thumb reconstruction using the free second toe combined with dorsal pedis flap. Methods Between January 2010 to November 2011, 8 patients with Ⅳ° thumb defect and large size soft-tissue defect around the thumb were reconstructed by the free second toe combined with dorsal pedis flap. Results All flaps and reconstructed survived completely without vascular problems. The donor skin graft survived and wound healed by the first. All the patients were followed up for 6-32 months. The finger appearance was satisfactory. The texture and color of flaps and the reconstructed thumb in all cases were good. There was no swelling. Based on upper limb motion function standard of Chinese Medical Association for hand surgery, the result were excellent in 4 cases, good in 3 cases, and fair in 1 case, the excellent and good rate was 87.5%. Conclusion It is an easy and simple therapy to cover large area wound and reconstruction of Ⅳ° thumb defect using the free second toe combined with dorsal pedis flap, which is worthy of clinical use.
出处
《实用手外科杂志》
2013年第3期362-363,376,共3页
Journal of Practical Hand Surgery
基金
基金项目：泰兴市人民医院基金课题资助项目（项目编号：try110P）
