O-toe with the toe flap - Hand Transplantation of thumb reconstruction.doc

 PAGE \* MERGEFORMAT 10 O-toe with the toe flap - Hand Transplantation of thumb reconstruction Of: Wang Jie, Yang Kaibo, Zhao Shun Shan, Chen Youci, Wang YB, Lin Hui [Abstract] Objective To investigate the toe - bring along a hand transplant adjacent toe for thumb reconstruction plastic flap reconstruction of the thumb, reducing the loss for the area of clinical application. Methods From 2007 to 2009, the foot - hand transplantation for thumb reconstruction in 12 cases, the thumb defect 1 degree in 2 cases, 2 degrees in 5 cases, degree in 5 cases. which take mother tibial nail flap flap with the second toe in 5 cases; to take the second toe in 7 cases, the mother with toe fibular flap in 3 cases, o-toe with bilateral flap in 4 cases. by carrying plastic flap for thumb reconstruction in 8 cases, cover the wound + plastic thumb reconstruction in 4 cases. flap least 2 cm 1 cm, the largest 4 cm 3 cm. sutured directly for the District 4 cases, 8 cases of toe skin grafting. Results of 12 cases of thumb reconstruction and carry 16 flaps survived, thumb reconstruction, flap and donor site appearance satisfaction, 8 cases of skin graft scars were hidden toe, dorsal flake scar no. Conclusion toe - hand transplantation for thumb reconstruction, the skin often greater than the demand for the toe area, to carry o-toe flap can effectively solve the grade ~ thumb defect reconstruction needs, and its easy to cut, transfer flexibility. for more hidden areas, mainly in the toe side of the square, easily closed, keeping the plantar side of the skin, postoperative appearance of the function of small. in the toe - for thumb reconstruction in hand transplantation is a practical and convenient way to increase the carrying skin. [Keywords:] surgical flaps; thumb reconstruction; tissue transplantation To investigate the toe - hand thumb defect repair method of transplantation, the author concluded from 2007 to 2009 Yangjiang Municipal People’s Hospital of Hand Surg