拇趾-拇指微血管移植术

Great toe-to-thumb microvascular transplantation.

作者信息

Lee Charles K, Buncke Gregory M

机构信息

The Buncke Clinic, CPMC-Davies Campus, 45 Castro Street, STE. 140N, San Francisco, CA 94114, USA.

出版信息

Clin Plast Surg. 2007 Apr;34(2):223-31, ix. doi: 10.1016/j.cps.2006.12.001.

DOI:10.1016/j.cps.2006.12.001

PMID:17418673

Abstract

Great toe to thumb transplantation offers the ideal reconstruction because it replaces the absent thumb with nearly identical anatomy. Functional donor site morbidity is minimal as compared with the aesthetic one; however, in comparison to the hand, the functional and aesthetic gain is tremendous. Anatomic and operative details are discussed along with preoperative and postoperative management. Postoperative functional evaluation of the thumb and donor site is assessed. Forty years of experience with this composite tissue transplantation has proven its status as the gold standard for thumb reconstruction.

摘要

拇趾移植再造拇指提供了理想的重建方法，因为它用几乎相同的解剖结构替代缺失的拇指。与美学供区相比，功能供区的并发症极少；然而，与手部相比，功能和美学方面的获益巨大。文中讨论了解剖学和手术细节以及术前和术后管理。对拇指和供区进行术后功能评估。40年的复合组织移植经验已证明其作为拇指重建金标准的地位。