拇指制作新方法——游离神经血管皮瓣和髂骨移植一期重建

New procedure on making a thumb--one-stage reconstruction with free neurovascular flap and iliac bone graft.

作者信息

Doi K, Hattori S, Kawai S, Nakamura S, Kotani H, Matsuoka A, Sunago K

出版信息

J Hand Surg Am. 1981 Jul;6(4):346-50. doi: 10.1016/s0363-5023(81)80038-x.

Abstract

A new method for reconstruction of an amputated thumb with a free neurovascular flap and an iliac bone graft in one stage is described. The method consists of four operative steps: (1) preparation of the recipient hand, (2) elevation of a free dorsalis pedis flap, (3) iliac bone graft, and (4) transfer of the flap with microvascular anastomoses. Four successful results with this operation are presented. The method, which reconstructs the thumb in a single operation, is suitable for patients who refuse other reconstructive methods which sacrifice uninjured digits or toes.

摘要

描述了一种一期用游离神经血管皮瓣和髂骨移植重建拇指截肢的新方法。该方法包括四个手术步骤：(1) 受区手部准备；(2) 游离足背皮瓣切取；(3) 髂骨移植；(4) 带微血管吻合的皮瓣转移。展示了该手术的四个成功病例。该方法可在一次手术中重建拇指，适用于拒绝采用牺牲未受伤手指或脚趾的其他重建方法的患者。