Reconstruction of degree V defect of thumb: A case report
10.3760/cma.j.cn441206-20220925-00202
- VernacularTitle:拇指V度缺损再造一例
- Author:
Chuan CHEN
1
;
Yaopeng HUANG
;
Jiadong PAN
;
Xin WANG
Author Information
1. 宁波市第六医院手外科,浙江 宁波 315000
- Keywords:
Thumb defect;
Hallux nail flap;
Reconstruction;
Microsurgical technique
- From:
Chinese Journal of Microsurgery
2022;45(6):696-699
- CountryChina
- Language:Chinese
-
Abstract:
In March 2014, a degree V defect of right thumb was reconstructed with a free right hallux nail flap combined with bone and tendon composite tissue of the 2nd toe in the Department of Hand Surgery, Ningbo No. 6 Hospital. A freed right superficial iliac circumflex artery perforator flap (SCIPF) and autologous iliac bone were used to repair the donor site of foot. The hand function was evaluated according to the upper limb function scoring system. Seven years after operation, the function of the right hand was significantly improved and the function of right foot was not significantly affected. According to the Michigan Hand Function Score, the result was 80 point. Functional recovery evaluated according to the Evaluation Standard of Reconstructed Thumb and Finger Functional of Hand Surgery of Chinese Medical Association, the result was excellent (14 point).