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作 者:刘光军[1] 谭琪[1] 李建强[1] 王成琪[1] 郭德亮[1] 田清业[1]
机构地区:[1]解放军第89医院骨科,山东省潍坊市261021
出 处:《中国骨与关节损伤杂志》2009年第10期872-874,共3页Chinese Journal of Bone and Joint Injury
摘 要:目的介绍一种移植足趾复合组织瓣再造拇及手指末节的新术式。方法自第一足趾腓侧切取部分骨甲皮瓣与第二足趾胫侧切取的趾底皮瓣相瓦合,形成一个血管蒂的复合组织瓣再造拇及手指末节。结果临床应用7例7指全部成活,受区伤口Ⅰ期愈合。术后随访6~14个月,指腹饱满,两点辨别觉5.0~8.0mm,外形逼真,指甲生长良好,关节活动度正常。第一足趾供区直接缝合后均Ⅰ期愈合,第二足趾供区植皮处肤色深,关节活动无影响,行走良好,无疼痛及足部肿胀。结论第一足趾腓侧骨甲皮瓣与第二足趾胫侧的趾底皮瓣相瓦合是再造拇及手指末节的理想方法。Objective To introduce a new and effective procedure for reconstruction of the distal phalanx of the finger. Methods A procedure was developed that elevated an osteoonychocutaneous flap from the big toe and the sensory plantar flap from the second toe to reconstruct the distal phalanx of the finger using these two flaps like a sandwich with the same vascular pedicle simultaneously. Results All flaps survived completely in 7 cases. They were followed up from 6 to 14 months. The finger after reconstruction had good appearance and sensation static 2 point discrimination (2-PD) of 5.0 mm to 8.0 mm,donor site morbidity was minimal.Conclusion Bifoliate combined flap consisting of the osteoonychocutaneous flap from the big toe and the sensory plantar flap from the second toe is an ideal flap for reconstructing the distal phalanx of the finger.
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