不同程度拇,手指缺损采用不同形式的足趾组织移植再造与修复

自１９７９年以来我们选用拇趾，拇趾甲皮瓣，第２趾，第２、３趾，带足背皮瓣的第２趾或拇趾甲皮瓣，足趾加游离皮瓣的复合组织，拇趾及第２趾趾腹皮瓣移植等，对３５３例４２２指不同程度的拇、手指缺损，采用血管端端吻合，并联及串联吻合及吻合趾－指动静脉的方法，重建血液循环进行缺指再造与修复，成功４１７指，成功率为９８．８％，并获得满意的外形与功能。

Reconstruction and repairation of thumb and finger defect with various kinds of toe tissue transplantation

Since 1979, 353 patients with 422 digits suffering from various degrees of thumb and/or finger defects were operated in our institute as emergency, Subacute emergency or late stage cases. The grafts included second toe, seconcl and third toes, great toe. skin-nail flap of great toe, pulp flaps of great or second toe, skin-nail flap of great toe or second toe attached with dorsalis pedis nap, i. e., different combination of toe and free flaps with different configurations. The blood vessels were anastomosed end-to-end, in parallel or in series. 417 digits in 348 patients were successful. The success rate was 98. 8%. The cosmetic effect and the functional result in most cases were quite satisfactory. Now we could reconstruct or repair any degree of thumb or finger ddfect to meet the wishes of most patients.