CAJ | 학술논문

目的探讨足趾移植再造手指术后外形的整形方法.方法自2002年至今,对手指缺损采用第二足趾移植再造手指术后,伴有指腹、指体、指甲畸形的65例77指,联合应用骨、肌腱、局部皮瓣等显微外科方法,整形再造指的外形.结果术后再造指外形都得到一定的纠正,再造指外形满意,功能改善.术后再造指感觉无影响.结论足趾移植再造手指术后指腹、指体、指甲的外形畸形,通过显微外科技术进行整形能改善其外形和功能.
목적 탐토족지이식재조수지술후외형적정형방법.방법 자2002년지금,대수지결손채용제이족지이식재조수지술후,반유지복、지체、지갑기형적65례77지,연합응용골、기건、국부피판등현미외과방법,정형재조지적외형.결과 술후재조지외형도득도일정적규정,재조지외형만의,공능개선.술후재조지감각무영향.결론 족지이식재조수지술후지복、지체、지갑적외형기형,통과현미외과기술진행정형능개선기외형화공능.
Objective To explore the methods of correcting malformation of reconstructed fingers in toe-to-hand transfer. Methods In a series of 77 reconstructed fingers in 65 cases of second toe-to-hand transfer since 2002,deformities of finger pulp,shaft or fingernail were present. Plastic interventions included inserting local fasciocutaneous flap and adjusting the bone and tendon of the reconstructed fingers with microsurgical techniques. Results The deformities were corrected and outward appearance was improved. Function of the fingers was improved while the sensation was not compromised. Conclusion Plastic intervention using microsurgical techniques to correct malformation of finger pulp,body and fingernail can improve the appearance and function of reconstructed fingers.