Hand reconstruction by transplanting the fostered residual finger and second toe which share the same blood supply system
10.3760/cma.j.issn.1001-2036.2017.04.009
- VernacularTitle:共用一套足背动脉供血系统的第二足趾和足背寄养指联合移植再造手
- Author:
Junjie QU
;
Fangang FU
;
Delin SUN
;
Xueguo DAI
;
Chengli LI
;
Ying LIU
;
Kai ZHANG
;
Lin XU
- Keywords:
Destructive hand injuries;
Foster finger;
Second toe;
Reconstruction;
Combined transfer
- From:
Chinese Journal of Microsurgery
2017;40(4):345-348
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the methods and results of hand reconstruction by transplanting the fostered residual finger and the second toe,which share the same blood supply system.Methods From January,2014 to January,2016,3 cases with destructive hand injuries in our hospital;and debridement was performed in one session during the early stage of trauma,with skin grafting to cover the wrist stump and foster the residual finger to a branch of the dorsalis pedis artery.The first dorsal metatarsal artery around the toe web was identified and then gradually isolated proximally with dissection of the branches of the dorsalis pedis artery supplying the fostered finger until the convergence of the two blood vessels.Then,reconstructed hand by residual finger and combined second toe transplantation.Results After a follow-up period of 3 months to 2 years,the reconstructed hand had a good appearance and was able to complete basic mundane actions.The function of the limb was restored to a large extent andthe patient was satisfied with the reconstructed hand.Conclusion Transfer of a fostered residual finger and combined second toe which have the same blood supply system for hand reconstruction as a new method need to anastomose only one set of arteries,and it is feasible with the good appearance and function of the reconstructed hand.
