一蒂双叶(足母)、第二趾侧方皮瓣游离移植修复指腹缺损

目的 探讨应用一蒂双叶[足母]、第二趾侧方皮瓣游离移植修复相邻多指指腹缺损的新术式。方法 对7例指腹及手指软组织缺损的患者，采用以第一跖背或跖底动脉、足背静脉、趾神经为蒂的[足母]趾腓侧、第二趾胫侧双叶皮瓣游离移植修复相邻多指指腹创面。结果 术后7例双叶皮瓣全部成活。随访3～18个月，皮瓣外形逼真，两点分辨觉为5～7mm，手功能满意。结论 应用一蒂双叶皮瓣同时修复相邻多指指腹缺损．是一种较安全、简便、实用的术式。

Repair of volar soft tissue defect of adjacent fingers by single pedicled big toe and second toe pulp flaps

Objective To introduce a simple and effective procedure for repair of soft tissue defect of adjacent digits at the volar side by free flaps. Methods 7 cases of volar soft tissue defect of the adjacent digits were involved. Double foliated pulp flaps from the big toe and the second toe based on a single vascular pedicle of the first dorsal metatarsal vessels or the deep plantar artery and dorsalis pedis vein were transferred to cover the defects. Results All cases were followed for 3 to 18 months, The repaired pulps had excellent appearance with a normal color and consistency. 2-point discrimination ranged from 5 to 7 mm. Finger flexion and extension was satisfactory. Conclusions Transfer of double foliated pulp flaps from the big toe and the second toe based on a single vascular pedicle is a safe, simple, and practical procedure for coverage of volar defects of adjacent two fingers.