Troisi Luigi, Mazzocconi Luca, Mastroiacovo Alessandro, Vizcay Macarena, Zanchetta Francesco, Stucchi Sara, Pajardi Giorgio Eugenio
Reconstructive Microsurgery Service, University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy.
School of Specialization in Plastic, Reconstructive and Aesthetic Surgery, Milan University, Milan, Italy.
Plast Reconstr Surg Glob Open. 2022 Sep 30;10(9):e4540. doi: 10.1097/GOX.0000000000004540. eCollection 2022 Sep.
Finger amputations are one of the most common traumas of daily life. Regularization of the digital stump is the most widely used option in the literature today. The aim of this study was to evaluate a valid functional and aesthetic alternative to amputation.
We retrospectively investigated our prospective database' selecting the patients who underwent trimmed great toe flap reconstruction for the amputation of a digit from September 2019 to November 2021. All the operations were performed by the first author (L.T.) in the Reconstructive Microsurgery Service of the University Department of Hand Surgery and Rehabilitation of MultiMedica Group.
No flap required anastomosis revision or had major complications. The length of the amputated finger was maintained, with a high functional and aesthetic result achieved.
The trimmed great toe flap has proven to be a viable alternative to finger amputation in the reconstruction of thumb and long finger defects, leading to high aesthetic results. The morbidity of the donor site is reduced compared with the classic great toe flap, allowing a direct closure in most cases.
手指截肢是日常生活中最常见的创伤之一。手指残端整形是目前文献中应用最广泛的选择。本研究的目的是评估一种有效的功能和美学替代截肢的方法。
我们回顾性研究了我们的前瞻性数据库，选择了2019年9月至2021年11月期间因手指截肢而接受修整的拇趾皮瓣重建手术的患者。所有手术均由第一作者（L.T.）在多梅迪卡集团大学手部外科与康复系的重建显微外科服务部门进行。
没有皮瓣需要吻合口修复或出现重大并发症。截肢手指的长度得以保留，功能和美学效果良好。
在拇指和长手指缺损的重建中，修整的拇趾皮瓣已被证明是手指截肢的一种可行替代方法，可带来很高的美学效果。与经典的拇趾皮瓣相比，供区的发病率降低，在大多数情况下可直接缝合。
