中环指岛状皮瓣、示指背侧岛状皮瓣转移修复拇指损伤

目的 评价中环指岛状皮瓣和（或）示指背侧岛状皮瓣转移修复拇指损伤的疗效。方法 １９８９年７月￣１９９８年１１月共８例拇指损伤应用中环指岛状皮瓣和（或）示指背侧岛状瓣修复。其中示指侧同状皮瓣转移修复拇指损伤２例，中指尺侧岛状皮瓣加示指背侧岛状岛状皮瓣转移修复拇指脱套伤１例，中环指双岛状皮瓣转移修复拇指撕脱离断伤１例。中指尺侧岛状皮拇指损伤４例。随访７个月－９年１１个月，平均５年１个月，主要观察皮

Transfer of island flaps from middle and ring finger and/or index finger dorsal island flap for the repair of injuries of the thumb

To evaluate the effect of repair of the thumb by transfer of island flaps from middle and ring fingers and/or index finger dorsal island flap. Methods The transfer of island flaps from middle and ring fingers and/or index finger dorsal island flap to repair injuried thumb has been performed in 8 patients from July 1989 to Nov. 1998. of them, transfer of index finger dorsal island flap was performed in 2 cases, transfer of middle finger ulnar island flap and index finger dorsal island flap in one case, transfer of double island flaps from middle finger and ring finger in one case. The external appearence, function, length, sensation of repaired thumbs were evaluated. Results The follow-up period ranged from 7 months to 9 years and 11 months. 8 flaps survived except 1 developed partial necrosis. All repaired thumbs had good appearence, function and sensation. Conclusion This method is simple and safe. In order to obtain good sensation, suturing of nerve should be performed.