Sixty Cases of Partial or Total Toe Transfer for Repair of Finger Losses
Sixty Cases of Partial or Total Toe Transfer for Repair of Finger Losses
复制标题
部分或全部脚趾移植修复手指缺损60例
DOI：
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发表时间：
1993
影响因子：
3.6
通讯作者：
S. Soeda
中科院分区：
文献类型：
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作者：
I. Koshima;H. Etoh;T. Moriguchi;S. Soeda
&NA;我们的经验与部分或全部脚趾转移重建手指赤字。在60例患者中，转移了61个脚趾以重建手指缺损。来自大脚趾的移植物包括3个带血管的全甲移植物、4个甲皮瓣（包括甲和来自脚趾尖的皮瓣）、16个薄骨甲皮瓣、4个环绕皮瓣和3个环绕和足背联合皮瓣。第二趾移植物包括6个修剪过的趾尖（包括指甲）、16个第二趾、1个联合第二趾和足背皮瓣、1个第二趾和第三趾。其他转移主要由其他皮瓣组成，包括半脐皮瓣和第一指腹皮瓣。关于从大脚趾转移，发现带血管的指甲移植物和甲皮瓣最适合治疗全指甲缺损，薄骨甲皮瓣最适合治疗拇指远端指骨缺损，带血管髂骨移植物的环绕皮瓣最适合治疗掌关节以上拇指缺损，联合环绕和足背皮瓣最适合治疗拇指全缺损。对于第二足趾的转移，修剪后的足趾尖（包括指甲）最适用于爪形指甲畸形，第二足趾最适用于除拇指和近端指间关节外的手指缺失，第二足趾和足背联合皮瓣最适用于拇指全缺损（包括鱼际皮肤缺失）。（Plast。重新配置92：1331，1993）。
&NA; Our experience with partial or total toe transfers for the reconstruction of finger deficits is presented. Sixty‐one toes were transferred to reconstruct finger deficits in 60 patients. The transfers from the big toe consisted of 3 vascularized whole‐nail grafts, 4 onychocutaneous flaps which included the nail and a skin flap from the toetip, 16 thin osteo‐onychocutaneous flaps, 4 wrap‐around flaps, and 3 combined wrap‐around and dorsalis pedis flaps. The transfers from the second toe consisted of 6 trimmed toetips including the nail, 16 second toes, 1 combined second toe and a dorsalis pedis flap, and 1 second toe and third toe. The other transfers mainly consisted of other flaps, including a hemipulp flap and a first web space flap. Regarding the transfers from the big toe, vascularized nail grafts and onychocutaneous flaps were found to be most suitable for the treatment of total nail loss, thin osteo‐onychocutaneous flaps for distal phalangeal loss of the thumb, wrap‐around flaps with a vascularized iliac bone graft for thumb loss above the metacarpal joint, and the combined wrap‐around and dorsalis pedis flaps for a total thumb deficit. Regarding the transfers from the second toe, the trimmed toetips including the nail were most suitable for claw nail deformities, the second toe was most suitable for finger loss except for the thumb with the proximal interphalangeal joint, and the combined second toe and dorsalis pedis flap was most applicable for a total thumb deficit including thenar skin loss. (Plast. Reconstr. Surg. 92: 1331, 1993.)