摘要
目的利用伤残的、不具备带神经血管束或静脉条件的食指进行移位，探讨再造拇指的方式。方法１９８７年４月～１９９７年１０月，根据６例不同平面拇指缺损及手合并损伤的不同情况，分别设计了三种食指移位再造拇指：①剔除近节指骨的食指移位；②带食指掌侧神经血管束及手背侧皮肤的食指移位；③带复合组织蒂的食指移位。结果６例再造的拇指全部成活。经术后６个月～２年随访，均恢复了捏物、夹持功能及不同程度的感觉。结论此方法利用了伤残的食指移位再造拇指，具有操作简便，成活率高，且可获得一定功能等特点，进一步扩大了食指移位再造拇指的适应证。
Objective In order to inquire the methods of thumb reconstruction by transferring the index finger with incomplete conditions of nerve or blood vessels. Methods From April 1987 to October 1997, 6 cases were treated by 3 kinds of operative methods according to the demage type of thumb and complicatious injures of the rest of hand:①transferring the index finger with pedicle without proximal phalanx, ②transferring the index finger with palmar nerve and blood vessels, and dorsal skin pedicle, ③transferring the index finger with compound pedicle.Results All 6 cases of thumb reconstruction were successful. Followed up 6 months to 2 years, the pinching and gribing functions in 6 cases were completely recovered, and the sensation were partly recovered.Conclusion The operative method of thumb reconstruction had following advantages:Simple operation, high survival rate and certain function recovery. It can enlarge the indications of thumb reconstruction.
出处
《中国修复重建外科杂志》
CAS
CSCD
1999年第4期237-238,共2页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
食指移位
拇指再造
Index finger transferring Thumb reconstruction
