Clinical application of lateral great toe flap in decoratively reconstruction of thumb pulp defect
10.3969/j.issn.1671-167X.2015.02.027
- VernacularTitle:趾腓侧皮瓣在拇指指腹缺损修饰性再造中的临床应用
- Author:
Dedi TONG
;
Shanlin CHEN
;
Yanbo RONG
;
Lehao WU
;
Shan ZHU
- Publication Type:Journal Article
- Keywords:
Thumb;
Finger injuries;
Toes;
Surgical flaps;
Reconstructive surgical procedures
- From:
Journal of Peking University(Health Sciences)
2015;(2):326-329
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the validity and the outcome of a new surgery method that utilizes lateral great toe flap to decoratively reconstruct the thumb pulp loss.Methods:From Jan.2009 to Jan. 2014 , 22 cases with unilateral thumb pulp defect were included, for whom, lateral great toe flap was de-ployed to reconstruct the thumb.Blood circulation was re-established by the anastomosis of the digital vessels of toes and fingers in 18 cases, the other 4 cases were conducted by a dorsal metatarsal artery and vein anastomosed to the deep branch of the radial artery and the dorsal metacarpal vein respectively; as for the nerve repair, toe-to-finger digital nerve anastomosis was performed.The donor sites were covered by full-thickness inguinal skin grafts.Results:All the 22 flaps survived without complications.With 6 to 12 months follow-up, the surviving fingers all presented aesthetically pleasant appearance with vivid loops and whorls.Normal functions like sweating were restored as well, and the two-point-discrimination ranged 3.0 to 6.0 mm (4.2 mm in average).The skin grafts to the donor sites healed uneventfully, the appearance and functions of the feet were unaffected.Conclusion: Lateral toe flap should be the first-line choice for reconstructing thumb defect, as it conveniently restores both functions and outlook.
