Lu Jiuzhou, Zhang Youlai, Jiang Junjiang, Xu Lei, Chim Harvey
Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, FL.
J Hand Surg Am. 2017 Jan;42(1):e33-e39. doi: 10.1016/j.jhsa.2016.11.008.
We report the use of distraction lengthening of the middle phalanx after vascularized second toe transfer for middle finger reconstruction to lengthen the digit to match the index and ring fingers.
We performed a retrospective review of 3 patients with a mean follow-up of 30 months.
A mean increase of 2.0 cm in the length in the digit was achieved. The range of motion at the proximal interphalangeal joint was preserved and bony union was seen at the distraction site in all 3 cases. All patients had an excellent functional and aesthetic outcome.
Distraction lengthening of vascularized toe transfers is a feasible undertaking.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic V.
我们报告了在血管化第二趾移植重建中指后，使用中节指骨牵张延长术来延长手指，使其长度与示指和环指相匹配。
我们对3例患者进行了回顾性研究，平均随访30个月。
手指长度平均增加了2.0厘米。所有3例患者近端指间关节的活动范围得以保留，牵张部位可见骨愈合。所有患者均获得了优异的功能和美学效果。
血管化趾移植的牵张延长术是一项可行的手术。
研究类型/证据水平：治疗性研究V级。
