Sohn Won-Il, Jung Sung-No, Kim Sang-Wha, Kwon Ho, Im Kyong-Shil
Department of Plastic Surgery, College of Medicine, Catholic University of Korea, Uijeongbu, Korea.
Ann Plast Surg. 2012 Jun;68(6):579-82. doi: 10.1097/SAP.0b013e31821b6c9a.
Various methods have been used to treat fingertip defects that are caused when distal parts are amputated. In this study, we used the pulp graft harvested from the lateral aspect of the great toe. Between September 2004 and August 2006, the great toe pulp graft were performed on 16 patients. The ages of patients ranged from 4 to 58 years. The average follow-up duration was 28 months. Complete graft take was observed in 13 of 16 patients. Partial necrosis was observed in 2 patients, and total necrosis in 1 patient. The pulp graft was painless and the color and texture of the graft were similar to the adjacent skin. Semmes-Weinstein monofilament and 2-point discrimination tests showed good recovery of fingertip sense. The scar of the fingertip was assessed by Vancouver Scar Scale and Cold intolerance by Visual Analog Scale and the results were satisfactory and also improved with time. The recipient site wasclosed with little scar. There were no gait disturbances. To conclude, the great toe pulp graft can provide soft-tissue and sensory recovery in fingertip defects.
已经使用了各种方法来治疗因远端部分被截肢而导致的指尖缺损。在本研究中，我们使用了从拇趾外侧获取的趾腹移植物。在2004年9月至2006年8月期间，对16例患者进行了拇趾趾腹移植。患者年龄在4岁至58岁之间。平均随访时间为28个月。16例患者中有13例观察到移植物完全存活。2例患者观察到部分坏死，1例患者观察到完全坏死。趾腹移植物无痛，移植物的颜色和质地与相邻皮肤相似。Semmes-Weinstein单丝试验和两点辨别试验显示指尖感觉恢复良好。通过温哥华瘢痕量表评估指尖瘢痕，通过视觉模拟量表评估冷不耐受情况，结果令人满意，并且随时间改善。受区闭合后瘢痕小。没有步态障碍。总之，拇趾趾腹移植可以为指尖缺损提供软组织和感觉恢复。
