Lee K S, Chae I J, Hahn S B
Department of Orthopaedic Surgery, Korea University Hospital, Seoul, Korea.
Microsurgery. 1995;16(10):692-7. doi: 10.1002/micr.1920161007.
From March 1982 to December 1992, 30 cases of thumb reconstruction with a free neurovascular wrap-around flap from the big toe were performed at Korea University Hospital. Twenty-nine of a total of 30 cases were successful and obtained excellent functional and cosmetic results. Postoperative complications included 1 case of graft failure, 6 partial skin necroses, 1 malunion, and 15 cases of resorption of iliac bone graft including 1 case of fatigue fracture of grafted bone. Even for the first metacarpal neck amputations, thumb reconstruction with a free neurovascular wrap-around flap was possible; however, limitation of motion of the reconstructed thumb and resorption of the grafted bone occurred. Thumb reconstruction with a wrap-around free flap from the big toe gives excellent cosmetic and functional results and causes minimal morbidity on the donor site.
1982年3月至1992年12月，韩国大学医院采用游离神经血管蒂拇甲瓣移植再造拇指30例，其中29例成功，功能和外形优良。术后并发症包括1例移植失败、6例部分皮肤坏死、1例骨不连、15例髂骨移植吸收，其中1例移植骨疲劳骨折。即使是第一掌骨颈离断，也可行游离神经血管蒂拇甲瓣移植再造拇指；但再造拇指有活动受限和移植骨吸收。采用游离拇甲瓣移植再造拇指，外形和功能优良，供区损伤小。
