THUMB RECONSTRUCTION WITH EXTENDED TWISTED TOE FLAP

被引：16

作者：

IGLESIAS, M

BUTRON, P

SERRANO, A

机构：

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1995年 / 20A卷 / 05期

关键词：

D O I：

10.1016/S0363-5023(05)80422-8

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Twelve amputated thumbs were reconstructed with a neurovascular cutaneous flap from the great toe and an osteotendinous flap from the second toe. Both transfers were dependent on a single vascular pedicle. One of the 12 reconstructions failed. In the remaining 11, the mobility of the metacarpophalangeal joint ranged from 10 degrees to 50 degrees, and that of the interphalangeal joint from 10 degrees to 30 degrees. Opposition and key pinch were restored, and the shape and volume were similar to those of the normal thumb. Likewise, the great toe was preserved, and all patients had a normal gait. This technique preserves the epiphyses for future growth in children and maintains the aesthetic appearance of the foot, but it has the disadvantage of involving a lengthy surgical procedure with a 17% rate of major complications.

引用

页码：731 / 736

页数：6

共 9 条

[1]

May, Thumb restoration by free great toe-to-hand transfer, The artistry of reconstructive surgery, pp. 813-819, (1987)

[2]

Buncke, Valauri, Discussion reconstruction of the thumb with a trimmed-tow transfer technique, Plastic and Reconstructive Surgery, 82, pp. 514-515, (1988)

[3]

Valauri, Buncke, Thumb reconstruction great toe transfer, Clin Plast Surg, 16, pp. 475-489, (1989)

[4]

Popen, Norris, Buncke, Evaluation of sensibility and function with microsurgical free-tissue transfer of the great toe to the hand for thumb reconstruction, The Journal of Hand Surgery, 8, pp. 516-530, (1983)

[5]

Weiss, Steichen, Reconstruction of traumatic absence of the thumb by alternative microsurgical methods of reconstruction, Hand Clin, 8, pp. 33-39, (1992)

[6]

Morrison, O'Brien, Macleod, Thumb reconstruction with a free neurovascular wrap-around flap from the big toe, J Hand Surg, 5, pp. 575-583, (1980)

[7]

Foucher, Merle, Maneaud, Michon, Microsurgical free partial toe transfer in hand reconstruction: a report of 12 cases, Plast Reconstr Surg, 65, pp. 616-626, (1980)

[8]

Kobus, Chiciak, Stepniewski, Rekonstrukcja kciuka, za pomoca palcow stopy, Pol Przegl Chir, 57, pp. 652-661, (1985)

[9]

Tsai, Aziz, Toe-to-thumb transfer: a new technique, Plast Reconstr Surg, 88, pp. 149-153, (1991)

← 1 →