Chu X C
Institute of Orthopedics & Traumatology, First Teaching Hospital, Fourth Military Medical University, Xian.
Zhonghua Wai Ke Za Zhi. 1991 Apr;29(4):224-7, 270.
Eighteen free second toe were used for pollicization other than the conventional method. From the first and second plantar metatarsal arteries junction of the both digital arteries of the second toe were dissected retrogradely and anastomosed to the deep of superficial palmar arch or terminal branch of the radial artery. The venous return was established between the dorsal venous arch and cephalic vein. These vessels were found to have much bigger diameters and less anatomical variation than those used by conventional methods. Seventeen transplantation were considered successful both functionally and cosmetically. One cases had persistent spasmodic contraction of the recipient arteries, so the transplant was salvaged by subclavicular pedicle including the sutured nerves and the attached soft tissues as introduced by Lu in 1964. Our method for reconstruction of the thumb or finger can avoid frequent anatomical variation and smaller diameter of the anastomosed vessels.
除传统方法外，18个游离第二趾用于拇指再造。从第一和第二跖底动脉交界处逆行解剖第二趾的两条趾动脉，并将其与掌浅弓深部或桡动脉终末支吻合。在足背静脉弓和头静脉之间建立静脉回流。发现这些血管的直径比传统方法使用的血管大得多，解剖变异也更少。17例移植在功能和外观上均被认为成功。1例受区动脉持续痉挛性收缩，因此按照1964年卢氏介绍的方法，通过包括缝合神经和附着软组织的锁骨下蒂挽救了移植组织。我们的拇指或手指再造方法可以避免频繁的解剖变异和吻合血管直径较小的问题。
