目的 介绍臂外侧骨皮瓣联合第二足趾移植再造拇指的临床效果.方法 对V度以上拇指缺损,选用带肱骨的臂外侧复合组织瓣和第二足趾联合移植再造拇指13例,按照中华医学会手外科学会拇、手指再造功能评定试用标准评定其功能. 结果 术后随访12个月～3年,13例皮瓣及移植的足趾全部成活,功能佳. 结论 带肱骨的臂外侧复合组织瓣加第二足趾联合移植是V度以上拇指缺损再造的良好方法.%Objective To introduce a sort of method about thumb reconstruction to complex thumb defect. Methods From January 2003 to December 2006, 13 patients who incur sever thumb defect above5 grade adopt the upper limb lateral bone-skin flap combined with the second toe transplant primary thumb reconstruction, pestop follow-up visit 12 months to 3 years, according to hand surgery society of Chinese Medical Associaition thumb and finger reconstruction functional assessment probation standard to evaluatethe function of reconstituted thumb. Results All of the transplanted upper limb lateral bone-skin flaps and the second toes take, and function well. Conclusion The upper limb lateral bone-skin flap combined with the second toe transplant primary repair complex thumb defect had been tested one good method for thumb reconstruction to above 5 grade thumb defect.
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