应用游离足趾组织移植修复拇指和手指部分缺损

目的 探讨应用游离足趾移植修复拇指和手指部分缺损的临床效果.方法 自1996年12月至2010年9月,应用游离足趾组织移植修复拇指和手指部分缺损33例35指,对手术适应证、手术方式的选择、手术成功的关键因素和治疗效果进行分析和总结,探讨其临床治疗的安全性及疗效.结果 33例移植修复的35指全部成活,术后随访3个月～12年,按中华医学会手外科学会上肢部分功能评定试用标准进行评定,结果属优14例,良16例,可3例,差1例,优良率为85.7%.修复后的拇指和手指外观、功能满意.结论 不同类型的游离足趾组织移植是再造和修复拇指和手指部分缺损的理想方法.

Reconstruction and repairation of partial thumb and finger defects with toe tissue transplantation

Objective To investigate the therapeutic effect of toe transfer in reconstruction and repairation of thumb and finger defcts. Methods From December of 1996 to September of 2010,thirty-five partial thumb and finger defcts in 33 cases were treated with toe tissue for reconstructing and repairing.The transfer indication,surgery procedure,operative technique and treatment effect were retrospectively analyzed.Simultaneously how to improve the outcoming and success rate were explored and investigated.Results All 35 toe tissue were alive with aesthetic appearance and finefunction.Followed-up from 3 months to 12 years,and judged by the tentative evalution standard of function of upper limb,which was made by Chinese Medical Association for Surgery of the Hand.The results were excellent in 14,good in 16,fair in 3 and poor in 1.The rate of excellence and good was 85.7%. Conclusion Toe tissue transplantation is an ideal treatment for reconstructing and repairing partial thumb and finger defcts.