Thumb reconstruction with free spliced bilateral fibular hallux nail flap: A case report
10.3760/cma.j.cn441206-20220424-00080
- VernacularTitle:游离双 趾腓侧甲皮瓣移植拼接再造拇指一例
- Author:
Miaozhong LI
1
;
Linhai LIU
;
Miao YU
;
Xiaoling ZHOU
;
Xueyuan LI
Author Information
1. 宁波市第六医院手外科,浙江 宁波 315040
- Keywords:
Fibular hallux nail flap;
Thumb reconstruction;
Tissue transplantation;
Anastomose
- From:
Chinese Journal of Microsurgery
2022;45(6):688-691
- CountryChina
- Language:Chinese
-
Abstract:
A patient who suffered with degloving and destructive servered distal segment of the left thumb was referred to the Department of Hand Surgery, Ningbo No.6 Hospital in May 2021. The thumb was reconstructed by transfer and splicing of a free bilateral fibular hallux nail flap. Metatarsal artery of the metatarsal fibular side of the flap was anastomosed to the proper palmar digital artery at the recipient site. The nerve meridian were anastomosed to the proper palmar digital nerve of thumb, and the distal arterial arch of the metatarsal base between the flaps was anastomosed at the same time. A V-Y advancement flap was employed to repair the donor site. After 3 months, the transferred flaps survived well, the left thumb nail grew well, and the dynamic TPD was at 7 mm. According to the Evaluation Standard of Thumb and Finger Reconstruction Function of the Society of Hand Surgery of the Chinese Medical Association, it was evaluated as excellent (14 points). The advancement flap in the donor site survived well, and the walking, running and jumping of both feet were not affected. According to Maryland's foot function scoring standard, it was evaluated as excellent (98 points).
