Lin Jian, Yu Yun-Lan, Wu Chun, Wang Zheng-Li, Ying Jian-Jun
The Microsurgery Department of Boai Hospital, Taizhou 318050, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2011 Mar;27(2):101-3.
To report emergency reconstruction of the complex dorsal digital defect using the composite flap with extensor tendon graft from the second toe.
From February 2001 to March 2010, 6 fingers in 6 patients with complex dorsal digital defects were repaired using the composite flap. The defect of the extensor tendon was also repaired with the extensor tendon graft harvested from the second toe.
All the flaps survived completely with primary healing. The patients were followed up for 5 to 10 years. The flaps had a good match in skin color and texture. Both the esthetic and functional results were satisfactory either in recipient or in donor sites.
The emergency reconstruction of the complex dorsal digital defect using the composite flap with extensor tendon graft is an effective way to repair the skin defect and extensor tendon defect simultaneously with good long-term results.
报告采用带第二趾伸肌腱移植的复合组织瓣急诊修复复杂性手指背侧缺损。
2001年2月至2010年3月，应用复合组织瓣修复6例患者的6指复杂性手指背侧缺损，同时采用取自第二趾的伸肌腱移植修复伸肌腱缺损。
所有组织瓣均完全存活，一期愈合。患者随访5至10年。组织瓣在肤色和质地方面匹配良好。供区和受区的美学及功能效果均令人满意。
采用带伸肌腱移植的复合组织瓣急诊修复复杂性手指背侧缺损是同时修复皮肤缺损和伸肌腱缺损的有效方法，长期效果良好。
