New progresses in thumb and finger reconstruction
10.3760/cma.j.cn501225-20240814-00305
- VernacularTitle:拇与手指再造新进展
- Author:
Zengtao WANG
1
;
Huanlong LIU
1
;
Liwen HAO
1
;
Shenqiang QIU
1
;
Linfeng LIU
1
;
Chao CHEN
1
Author Information
1. 山东第一医科大学附属省立医院手足与显微重建外科，济南 250021
- Publication Type:Journal Article
- Keywords:
Microsurgery;
Surgical flaps;
Thumb;
Finger reconstruction;
Full-finger reconstruction;
Toes
- From:
Chinese Journal of Burns
2025;41(2):109-119
- CountryChina
- Language:Chinese
-
Abstract:
For centuries, people have been searching for ways to reconstruct the mutilated thumb and fingers. Among the hundreds of operation methods that have appeared, the method of toe transplantation to reconstruct the thumb and fingers, which appeared in the second half of the 19 th century, had the best effect. However, due to the limitation of technical level at that time, only the pedicled toe could be transplanted to reconstruct the thumb and fingers. During the treatment period, the patient was in an inappropriate position where the hand and foot were fixed together for a long time, and the nerve was not repaired, so the thumb and fingers reconstructed after surgery had poor feeling. Therefore, it has not been widely used. It was not until 1966 when Yang Dongyue succussed in reconstructing the thumb using a free toe transplant with blood vessel anastomosis that toe transplantation gradually became the mainstream method of thumb and finger reconstruction. The appearance and function of the thumb and finger reconstructed by toe transplantation are still very different from that of the normal thumb and finger. Moreover, when multiple thumbs and fingers are defective, the transplantation of multiple toes for repair will cause great damages to the foot, so it is not suitable to reconstruct more than three thumb and fingers using toes in the same period. In 2007, Wang Zengtao proposed the concept of "full-finger reconstruction of thumb and fingers" and a series of new operation methods: new fingers were designed and assembled by means of using a variety of tissue combination assembly, which changed the traditional method of toe transplantation to reconstruct thumb and fingers, and the method of replacing thumb and fingers by toes was changed to manufacturing new thumb and fingers so that the toes could be retained and the thumb and fingers could be reconstructed with approximately normal shape and function. In recent years, the concept and series of new operation methods of thumb and finger reconstruction have been popularized at home and abroad. This paper focuses on the development of full-finger reconstruction of thumb and fingers.
