组合组织移植一期修复手部组织缺损及重建大小鱼际肌功能

目的 探讨足部内在肌与其它组织组合移植修复手部组织缺损及重建大、小鱼际肌功能的方法。方法 采用吻合血管神经的皮瓣、足趾、趾伸短肌、Mu短展肌组合移植进行组织修复及重建手内在肌功能共28例。结果 术后随访1－5年，移植肌肉恢复正常肌力，移植组织较好的感觉及运动功能。结论 采用足部内在肌与其它组织组合移植是修复手部组织缺损及重建手部大、小鱼际肌功能的一种可行方法。

Primary repair of the multiple tissu e defect and reconstruction of intrinsic muscle function of hand by combine tissue grafting

Objective To explore a method of repairing the multiple tissue defect and building the intrinsic muscle functi on of hand by combine grafting the intri nsic muscle of foot and other tissue. Methods With vascular and nerve an astomosis ，repair the tissue and rebuild the intri nsic muscle function of hand by combine transplantation of the flap，toes，short e xtensor muscles of hallux and toe and sh ort abductor muscle of great toe. Re sults After 1～5 yearsfollow-up，norm al myodyn amic has returned to the transplanted mu scles.Good sensation and good motor func tion have also returned to the transplan ted tissue. Conclusion Its an ideal method to repair the multiple tissue defect and rebuild the intrinsic muscle function of hand by combine transplan tation of intrinsic muscle of foot and ot her tissue.