[1]唐俊华 金国栋 曾永文 杨贺 谢仁鹏.楔形合页截骨在游离第二趾再造手指中的应用[J].中国中医骨伤科杂志,2021,29(04):63-65.
　TANG Junhua JIN Guodong ZENG Yongwen YANG He XIE Renpeng.Application of Cuneiform Hinge Osteotomy in Reconstruction ofThumb and Finger with Free Second Toe[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(04):63-65.
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楔形合页截骨在游离第二趾再造手指中的应用()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年04期
页码:
63-65
栏目:
临床报道
出版日期:
2021-04-15

文章信息/Info

Title:
Application of Cuneiform Hinge Osteotomy in Reconstruction ofThumb and Finger with Free Second Toe
文章编号:
1005-0205(2021)04-0063-03
作者:
唐俊华1 金国栋1 曾永文1 杨贺1 谢仁鹏1
1浙江东阳市红十字会医院(浙江 东阳,322100)
Author(s):
TANG Junhua1 JIN Guodong1 ZENG Yongwen1 YANG He1 XIE Renpeng1
1Dongyang Red Cross Hospital,Dongyang 322100,Zhejiang China.
关键词:
手指再造;  关节缺损;  楔形合页截骨
Keywords:
thumb and finger reconstruction;  joint defect;  cuneiform hinge osteotomy
分类号:
R681.8
文献标志码:
B
摘要:
目的:探讨楔形合页截骨在游离第二趾移植再造手指术的手术方法和临床疗效。方法:对16例18指带跖趾关节的第二趾游离移植再造手指病例,术中采取跖骨头楔形合页截骨,跖板部分切除(修薄处理)。再将跖板近端止点重建,使跖趾关节屈曲达90°,采用1.0 mm克氏针交叉内固定,再常规再造方法吻合肌腱、血管、神经。结果:本组再造18指均成活,随访6～36个月,平均10.2个月。再造指被动屈曲65°～90°,平均77°; 主动屈曲50°～85°,平均68°; 背伸0°～15°,平均7°。X线片及CT复查骨质均愈合良好,无骨关节炎表现。结论:在游离第二趾移植再造手指术中楔形合页截骨能明显改善再造手指关节活动度,是提高再造手指功能的一种好的方法。
Abstract:
To explore the operative method and clinical efficacy of cuneiform hinge osteotomy applied in the free second toe transplantation for thumb reconstruction.Methods:There were 16 cases(18 fingers)of thumb reconstruction by free transplantation of the second toe with metatarsophalangeal joint.The cuneiform hinge osteotomy of the metatarsal head,partial resection of the metatarsal plate(thinning treatment)and reconstruction of the proximal end of the metatarsophalangeal joint were performed,which allowed the flexion of metatarsophalangeal joint up to 90°.The tendon,blood vessel and nerve were anastomosed by 1.0 mm Kirschner wire.Results:All 18 reconstructed fingers survived.All patients were followed up for 6 to 36 months with an average of 10.2 months.Effect revealed that passive flexion was 65° to 90° with an average of 77°.Active flexion was 50° to 85° with an average of 68°.Back extension was 0° to 15° with an average of 7°.X-ray and CT scan showed good bone healing without sign of osteoarthritis.Conclusion:Cuneiform hinge osteotomy is an effective method to improve the joint mobility of thumb and finger in thumb-finger reconstruction via the free second toe transplantation.

参考文献/References:

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更新日期/Last Update: 2021-04-15