CAJ | 학술논문

目的探讨改进第2趾游离移植再造拇指外形的方法.方法在切取第2趾之前,先切取其近端带蒂的全背侧皮甲瓣并留于足部.然后在游离第2趾时一同游离(足母)趾全背侧皮甲瓣,将趾全皮甲瓣与无背侧皮甲瓣的第2趾组装成为外形更近似拇指的组合足趾再造拇指.将第2趾全背侧皮甲瓣覆盖(足母)趾背侧创面,修复供区.结果手术12例(12指)全部成活,其中8例得到6～9个月随访,再造拇指外观逼真(特别是背侧),其粗细、长度接近正常,外形及功能良好,优7例,良1例.(足母)趾的外观及功能无明显影响,行走感觉不适、有轻微疼痛者1例,但不影响行走及工作.结论应用此方法对供区破坏较小,设计合理,患者易接受,再造的拇指背侧外观无明显差异,是一种较理想的拇指再造方法.
목적 탐토개진제2지유리이식재조무지외형적방법.방법 재절취제2지지전,선절취기근단대체적전배측피갑판병류우족부.연후재유리제2지시일동유리(족모)지전배측피갑판,장지전피갑판여무배측피갑판적제2지조장성위외형경근사무지적조합족지재조무지.장제2지전배측피갑판복개(족모)지배측창면,수복공구.결과 수술12례(12지)전부성활,기중8례득도6～9개월수방,재조무지외관핍진(특별시배측),기조세、장도접근정상,외형급공능량호,우7례,량1례.(족모)지적외관급공능무명현영향,행주감각불괄、유경미동통자1례,단불영향행주급공작.결론 응용차방법대공구파배교소,설계합리,환자역접수,재조적무지배측외관무명현차이,시일충교이상적무지재조방법.
Objective To investigate a more pedect method for a nice outward appearance of a reconstructed thumb.Methods A free one-stage plasty second toe transfer for thumb reconstruction by interchanging the whole skin-nail flap from the great toe with another one from the second toe.Results There were 12 cases in this group,following-up 6-9 months in 8 cases,7 cases was excellent and 1 cases was good.The reconstructed thumb got a nice looking and more normal function while no blight to the great toe occurred.Conclusion It is an effective new procedure in ameliorating outward appearance of the reconstructed thumb by transferring the free moulded second toe.