Transplantation of compound tissue flap of toe to reconstruct the thumb with necrosis caused by electric burns in four patients
10.3760/cma.j.issn.1009-2587.2019.10.011
- VernacularTitle: 足趾复合组织瓣游离移植再造电烧伤致坏死拇指四例
- Author:
Shengjun CAO
1
;
Lingfeng WANG
;
Te BA
;
Zhidong RONG
;
Guolin HU
;
Biao ZHOU
;
Quan LI
;
Zengqiang YAN
Author Information
1. Department of Burns, the Third Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Institute of Burn Research, Baotou 014010, China
- Publication Type:Journal Article
- Keywords:
Burns, electric;
Toe surgical flaps;
Thumb reconstruction
- From:
Chinese Journal of Burns
2019;35(10):761-763
- CountryChina
- Language:Chinese
-
Abstract:
From January 2010 to December 2017, 4 patients of thumb with necrosis caused by electric burns (all male, aged from 31 to 58 years) were admitted to our hospital, with 1 patient of second degree injury of right thumb, 2 patients of third degree injury of right thumb, and 1 patient of third degree injury of left thumb. Routine debridement under general anesthesia was performed within 7 days after injury. The compound tissue flap of contralateral second toe was transplanted to reconstruct the thumb with third degree defect, and compound tissue flap of ipsilateral distal hallex was transplanted to reconstruct the thumb with second degree defect. Dorsalis pedics artery was anastomosed with radial artery, saphenous vein or dorsalis pedics vein was anastomosed with cephalic vein. The donor site was transplanted with split-thickness skin graft from autologous thigh. All the tissue flaps and skin grafts survived in 2 weeks after surgery. Within 1 year of follow-up, the reconstructed thumbs can achieve radial abduction and palmar abduction with good function. Reconstruction of thumb with free transplantation of compound tissue flap of toe is a good method to repair thumb with necrosis caused by electric burn.
