第二趾胫侧游离皮瓣重建指腹体会

摘要

Objective To observe and study clinical efficacy of restruction of finger pulp using tibial flap.Methods From January 2009 to October 2013,we reconstructed the 20 finger pulps with free tibial flap of the second toe.Results 20 flaps survived completely and were followed up for 6 months to 2 years,with an average of 1 year.There were no obvious scars in the reconstructive finger pulps.And the reconstructed finger pulps all had good appearance,texture,a fingerprint point discrimination at 6-8 mm,and finger function recovered well.Conclusions The shape of finger pulp after reconstuction with the free tibial flap of the second toe has the similar appearance to the normal finger pulp and a good sensory function,which is one of the best ways to reconstruct the finger pulp defects.%目的 探讨第2趾胫侧游离皮瓣修复指腹缺损的方法和临床效果.方法 2009年1月至2013年10月,对20例指腹缺损患者采用第2趾胫侧游离皮瓣进行修复.结果 20例皮瓣完全成活,并获得6～ 24个月随访,平均1年,移植指腹无明显瘢痕,外观饱满、耐磨、有指纹,两点辨距觉为6～8 mm,手指功能恢复良好.结论 第2趾胫侧游离皮瓣修复的指腹外形与正常指腹相似,感觉功能良好,手指精细功能得以恢复.