The hallux nail flap combination of the second phalange with the tibia lateral diamond shaped flap, joint, and tendon composite tissue to reconstruct the thumb
10.3760/cma.j.issn.1001-2036.2016.03.009
- VernacularTitle:(踇)甲瓣联合带胫侧菱形皮瓣的第二趾复合组织组合再造拇指
- Author:
Kelie WANG
;
Chunsheng XIAO
;
Zhihui YE
;
Lifeng MA
;
Yanjun YANG
;
Ziqing ZHANG
- Publication Type:Journal Article
- Keywords:
Thumb;
Hallux nail flap;
Second phalange;
Reconstruction;
Microsurgical technique
- From:
Chinese Journal of Microsurgery
2016;39(3):241-245
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the hallux nail flap with the tibia lateral diamond shaped flap of the second phalange,joints,tendon combined tissue combination reengineering the surgical methods and clinical effects of thumb.Methods From May,2010 to February,2015,thcrc had fifteen cases of the thumb defect on Ⅱ-Ⅳ degree of the patients in our hospital,and we took anastomosis vascular pedicle of the hallux nail flap and thumb reconstruction with a second phalange with the tibia lateral diamond shaped flap,joint,and tendon composite tissue combination to reconstruct the thumb.The provided district of the second metatarsal was amputated to repair the ligaments between metatarsal bones.And we took the second toe bone nail flap covering the hallux toe area wound in anterograde shift.Results 15 cases of thumb reconstruction survived.The patients were followed-up for 6 to 30 months,the shape of the reconstructed thumb was closed to the contralateral thumb.The thumb to the finger and the palm function was good,two-point discrimination of the finger pulp were 0.6-1.0 cm.According to the upper limb function of the Chinese Medical Association Hand Surgery Society,the upper limb partial function of the evaluation trial standard:excellent in 11 cases,good in 4 cases.The district was recovered well,normal walking and running function were not restricted.Long term follow-up showed no blisters formation and skin ulceration.No nail deformity,good growth.Conclusion The hallux nail flap with the tibia lateral diamond shaped flap of the second phalange,joints,tendon combined tissue combination to reconstruct the thumb of the defect on Ⅱ-Ⅳ degree can restore good function and feeling,but also to have beautiful appearance.It is an effective method for reconstruction of thumb defect on Ⅱ-Ⅳ degree.
