足趾移植再造手指的临床分析

目的：报道应用足趾移植再造手指的临床效果。方法：1992-2001年之间共施行第二足趾移植再造手指24例，其中再造拇指19例，食指1例，中指2例，应用第二、三足趾移植再造中、环指2例。结果：术后23例成活，随访6个月-3年，足趾移植再造的拇指、手指外形满意，功能良好。结论：术前详细检查、合理设计，术中无创伤操作及对变异血管的正确处理是获得足趾移植成活的关键。

Clinical analysis of thumb and finger reconstruction with toe transplantation

Objective For analyzing the outcome of toe transplantation Methods From 1992 to 2001, 24 cases of defect of fingers were treated with toe transplantation, including second toe transplantation for thumb in 19 cases, for index finger in 1 case, and for middle finger 2 cases, as well as second toe and third toe transplantation for middle and ring fingers in 2 cases Results The transplantated toe survived in 23 cases The reconstituted fingers and thumbs showed good shape and excellent function Conclusion Careful examination, reasonable design of reconstrction plan, and fine manipulation to protect blood vessels from trauma induced by operation play a key role in the toe transplantation, especially in the presence of abnormal blood vessels