Kanaya Kohei, Wada Takuro, Iba Kosuke, Yamashita Toshihiko
Department of Orthopedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.
J Reconstr Microsurg. 2014 Jun;30(5):363-6. doi: 10.1055/s-0033-1363327. Epub 2014 Jan 7.
A 51-year-old male plumber with a thumb pulp defect was treated with a reversed innervated thenar pedicle flap. The flap was based on the radial digital artery originating from the princeps pollicis artery with the palmar cutaneous branch of the median nerve. The flap survived and achieved good innervation with a moving 2-point discrimination of 6 mm at 12 months after surgery. This flap is indicated for patients who hesitate to have tissue taken from the foot. We believe that this flap is a feasible option for reconstructing thumb pulp defects.
一名51岁的男性水管工因拇指指腹缺损接受了逆行带神经的大鱼际皮瓣治疗。该皮瓣以发自拇主要动脉的桡侧指动脉为蒂，并带有正中神经的掌皮支。皮瓣存活，术后12个月时两点辨别觉活动度为6mm，神经支配良好。对于那些不愿取自足部组织的患者，该皮瓣是适用的。我们认为，该皮瓣是修复拇指指腹缺损的一种可行选择。
