中国临床解剖学杂志 ›› 2013, Vol. 31 ›› Issue (2): 214-216.

• 临床研究 • 上一篇    下一篇

母趾腓侧皮瓣修复指掌侧软组织缺损的方法及效果

王旭东, 杨瑛艳, 巫文强, 胡湘元, 王文刚, 陈伟练   

  1. 东莞市塘厦医院显微外科,   广东   东莞    523721
  • 收稿日期:2012-11-10 发布日期:2013-04-08
  • 作者简介:王旭东(1967-),男,广东东莞人,副主任医师,主要从事显微外科临床方面的研究,Tel:(0769)87728333-3045

The clinical application of the fibula side flap of great toe

WANG Xu-dong, YANG Ying-yan, WU Wen-qiang,HU Xiang-yuan,WANG Wen-gang,CHEN Wei-lian   

  1. Department of Microsurgery, Tangxia Hospital, Dongguan 523721, Guangdong, China
  • Received:2012-11-10 Published:2013-04-08

摘要:

 目的 探讨母趾腓侧皮瓣修复手指掌侧软组织缺损的手术方法和临床疗效。  方法 对2005年8月至2011年8月17例采用拇趾腓侧皮瓣修复手指掌侧软组织缺损患者的临床资料进行回顾性分析。  结果 17例皮瓣全部存活。术后随访12~36 个月,皮瓣质地良好、外形逼真,有罗纹,两点辨别觉4~6 mm,手指功能恢复满意,供足行走无障碍。  结论    母趾腓侧皮瓣修复手指掌侧软组织缺损疗效确切、外观功能恢复满意,是一种理想的修复手指掌侧软组织缺损的方法。

关键词: 母趾腓侧皮瓣, 修复, 指损伤, 显微外科

Abstract:

Objective To discuss the surgical approach and the clinical curative effect of using the fibula side flap of the great toe to repair the soft-tissue.defect of the palmar side finger. Method   A retrospective analysis was conducted on patients with soft-tissue defect on the palm side of the finger treated by the fibula side flap of the great toe between August 2005 to August 2011. Result In the study period of 12 to 36 months, all of the 17 flaps survived with good texture and appearance, and two point discrimination of 4~6 mm.  And the functional recovery the fingers was satisfactory and The patients' gait was not affected. Conclusion Using the fibula side flap of the great toe to repair the soft-tissue defect of the palmar side of the finger is a preferential choice which delivers excellent clinical curative effect.

Key words: Fibula side flap of great toe, Reconstruction, Finger injuries, Microsurgery 

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