Clinical experience of finger reconstruction in child with second toe transplantation
10.3760/cma.j.issn.1001-2036.2011.05.005
- VernacularTitle:第二足趾游离移植再造小儿手指
- Author:
Jian-jun LU
;
Hai-tao TAN
;
Jian-zhong NG JIA
;
Xiang LUO
;
Ping-ou WEI
;
Xiao-rong NG HUA
;
Gui-quan DENG
- Publication Type:Journal Article
- Keywords:
Second toe;
Finger reconstruction;
Transplantation;
Child;
Microsurgery
- From:
Chinese Journal of Microsurgery
2011;34(5):370-372
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of finger reconstruction in child with second toe transplantation,and evaluate the postoperative appearance and function regarding the reconstructed donor feet.Methods From June 2002 to May 2011,sixteen cases were reconstructed in sub-emergency with second toe transplantation.Two thumbs,eight index fingers,and 6 middle fingers were reconstructed.All patients were followed-up from 12 to 24 months.The functions of reconstructed fingers were analysed.Results All the reconstructed fingers survived.Vascular crisis occurred in 1 patient,and survived after re-anastomosis.Necrosis of skin grafts at the domon site with exposed tedons was seen in 1 ease,and healed after changing dressings.All the reconstructed fingers showed good in growth and development,and performed good functions as grabbing,grasping and nipping.Two-point discrimination was between 6 mm and 10 mm.The donor site of the foot had normal gait,without obvious influence on walking.Also,no pain was complained.Conclusion The method of transplanting the second toe can reconstruct the appearance and function of the finger defects in child,and has little effect on the appearance and motion of feet.It is an effective treatment method.
