Repairation of composite distal soft tissue defect of thumb and finger with mini toenail flap

中华显微外科杂志 Pub Date : 2019-08-25 DOI:10.3760/CMA.J.ISSN.1001-2036.2019.04.003

Fei-ya Zhou, Liang-fu Jiang, Xian Zhang, Weiyang Gao, Yong-huan Song, Jian Ding

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引用次数: 0

Abstract

Objective To introduce the repairation procedure of composite distal soft tissue defect of thumb and finger with mini toenail flap. Methods From June, 2015 to June, 2018, 7 cases with composite tissue defect at 7 distal fingers, including 5 thumbs, 1 index finger and 1 middle finger, were reconstructed with mini toenail flap transfer. The flap sizes which were raised during the operation ranged from 4.5 cm×3.0 cm-3.0 cm×1.5 cm. The donor sites were covered by toe phalanx shortening, V-Y advancement flap and local pedicle flap. Microsurgical routine treatment was made after the operation, and followed-up regularly. Results Seven flaps of 7 cases completely survived without any necrosis. All the wounds at the donor sites healed well. All patients were followed-up for 6-36 months. The motive, sensor and cosmetic result were satisfied. In sensory function, the two-point discrimination distance could restore to be 4-6 mm. Conclusion The mini toenail flap transfer is a reliable and suggested method. It can anatomically restored the distal digit sensor function with cosmetic contour, and regain the motive, sensory function and satisfied cosmetic appearance. Key words: Toenail flap; Toe transplantation; Finger; Repairation; Distal finger defect

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微型趾甲皮瓣修复拇指、指复合远端软组织缺损

目的介绍应用微型趾甲皮瓣修复拇指和手指远端复合软组织缺损的方法。方法自2015年6月至2018年6月，对7例7指远端复合组织缺损的患者，包括5个拇指、1个食指和1个中指，采用微型趾甲皮瓣移植重建。术中皮瓣面积从4.5cm×3.0cm到3.0cm×1.5cm不等，供区采用趾骨缩短、V-Y前进皮瓣和局部蒂皮瓣。术后进行显微外科常规治疗，并定期随访。结果7例皮瓣全部成活，无坏死。捐赠部位的所有伤口都愈合得很好。随访6～36个月。动机、传感器和外观效果均令人满意。在感觉功能方面，两点辨别距离可恢复到4～6mm。它可以在解剖学上恢复具有美容轮廓的远端手指传感器功能，并恢复运动、感觉功能和满意的美容外观。关键词：Toenail flap；足趾移植；手指；还款；手指远端缺损

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来源期刊

中华显微外科杂志

CiteScore

0.50

自引率

0.00%

发文量

6448

期刊介绍： Chinese Journal of Microsurgery was established in 1978, the predecessor of which is Microsurgery. Chinese Journal of Microsurgery is now indexed by WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 1.731 in 2017, ranking the third among all journal of comprehensive surgery. The journal covers clinical and basic studies in field of microsurgery. Articles with clinical interest and implications will be given preference.