[显微外科游离足趾移植进行手部重建]

[Hand reconstruction by microsurgical free toe transfer].

作者信息

Stamate T, Budurcă A R, Hermeziu Oana

机构信息

Facultatea de Medicină, Universitatea de Medicină si Farmacie Gr.T. Popa Iaşi, Clinica de Chirurgie Plastică şi Reconstructivă, Spitalul Clinic de Urgenţe Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2003 Jan-Mar;107(1):140-7.

PMID:14755985

Abstract

Reconstruction of complex hand mutilations with multi-digital or thumb amputations are best treated with microsurgical toe transfers. We present the results of the first 15 cases operated by the first author, of which 12 are thumb reconstructions (6 great toe and 6 second toe transfers) and 3 long fingers reconstructions with combined second and third toe transfers. There were no microsurgical complications. Cortical integration and functional integration was achieved for all transferred toes, with discriminatory sensibility (m2PD between 5 and 13 mm) and active mobility range between 30 and 60 degrees.

摘要

复杂手部毁损伤伴多指或拇指离断的重建，采用显微外科足趾移植治疗效果最佳。我们展示了第一作者所做的前15例手术的结果，其中12例为拇指重建（6例为拇甲瓣移植和6例为第二足趾移植），3例为示指和中指联合移植重建长手指。无显微外科相关并发症。所有移植足趾均实现了皮质整合和功能整合，两点辨别觉（两点辨别距离在5至13毫米之间），主动活动范围在30至60度之间。