Repairation of composite distal soft tissue defect of thumb and finger with mini toenail flap
10.3760/cma.j.issn.1001-2036.2019.04.003
- VernacularTitle:微型??甲瓣移植修复拇手指末节复合组织缺损
- Author:
Feiya ZHOU
1
;
Liangfu JIANG
;
Xian ZHANG
;
Weiyang GAO
;
Yonghuan SONG
;
Jian DING
;
Tinggang CHU
Author Information
1. 温州医科大学附属第二医院手显微外科
- Keywords:
Toenail flap;
Toe transplantation;
Finger;
Repairation;
Distal finger defect
- From:
Chinese Journal of Microsurgery
2019;42(4):322-325
- CountryChina
- Language:Chinese
-
Abstract:
To introduce the repairation procedure of composite distal soft tissue defect of thumb and finger with mini toenail flap. Methods From June, 2015 to June, 2018, 7 cases with composite tissue defect at 7 distal fingers, including 5 thumbs, 1 index finger and 1 middle finger, were reconstructed with mini toenail flap transfer.The flap sizes which were raised during the operation ranged from 4.5 cm×3.0 cm-3.0 cm×1.5 cm.The donor sites were covered by toe phalanx shortening, V-Y advancement flap and local pedicle flap. Microsurgical routine treatment was made after the operation, and followed-up regularly. Results Seven flaps of 7 cases completely sur-vived without any necrosis. All the wounds at the donor sites healed well. All patients were followed-up for 6-36 months. The motive, sensor and cosmetic result were satisfied. In sensory function, the two-point discrimination dis-tance could restore to be 4-6 mm. Conclusion The mini toenail flap transfer is a reliable and suggested method.It can anatomically restored the distal digit sensor function with cosmetic contour, and regain the motive, sensory func-tion and satisfied cosmetic appearance.
