摘要
目的 探讨改良第1,2趾组合全型再造拇指的方法 ,提高术后拇指指甲的稳定性.方法2013年3月-2015年8月,采用切取踇甲皮瓣时携带踇趾末节甲床下趾骨与第2趾骨肌腱系统组合再造拇指7例,均为拇指挤轧毁损伤导致的Ⅲ~Ⅳ度缺损.结果 手术7例7指成活,7例获7-19个月随访,平均11个月.再造拇指外形接近健侧拇指,指甲外形良好,甲板牢固,无甲下异常活动,无疼痛,指腹两点辨别觉5-9 mm.足部行走无疼痛,按中华医学会手外科学分会拇指再造功能评定标准,7例均为优.结论 带踇趾末节部分趾骨的第1,2趾组合全型再造拇指,外形接近正常拇指,指甲稳定,功能良好,足部损伤小.
Objective To explore the method of reconstructing the thumb by improving the first and the second toe combination for increasing the thumb nail stabilization. Methods From March 2013 to August 2015, 7 cases of thumb were reconstructed by cutting the nail flap and carrying the toe joint of the nail bed and the second phalanx tendon system. 7 cases were Ⅲ-Ⅳ degree of damage, caused by squeezing injury. Results 7 fingers of 7 cases all survived, followed-up for 7-19 months, the average for 11 months. Reconstruction thumb closed to the contralateral thumb, nail in good shape, strong deck, no armor under the unusual activities, no pain, the two-point discrimination was 5-9 mm. Foot walking without pain, according to the Chinese Medical Association hand surgery thumb reconstruction function evaluation criteria, 7 cases were excellent. Conclusion The first and the second toe combined with the distal toe for reconstructing thumb, the shape close to the normal thumb, the nail is stable, the function is good and the foot injury is small.
作者
张绍海
刘思景
张远军
郑炎斌
ZHANG Shaohai LIU Sijing ZHANG Yuanjun et al(Department of Orthopedics, Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan, Guangdong, 528400, Chin)
出处
《实用手外科杂志》
2017年第2期205-207,共3页
Journal of Practical Hand Surgery
关键词
指甲
皮瓣
拇指
足趾
再造
Nail
Flap
Thumb
Toe
Reconstruct
