| Ⅰ期趾甲延长术9例报告 |
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Received:March 20, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张功林 |
ZHANG Gong-lin |
温岭市骨伤科医院手外科中心，浙江 温岭 317500 |
Department of Hand Surgery Center,the Orthopaedics and Traumatology Hospital of Wenling,Wenling 317500,Zhejiang,China |
668zgl@163.com |
| 郭翱 |
GUO Ao |
温岭市骨伤科医院手外科中心，浙江 温岭 317500 |
Department of Hand Surgery Center,the Orthopaedics and Traumatology Hospital of Wenling,Wenling 317500,Zhejiang,China |
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| 章鸣 |
ZHANG Ming |
温岭市骨伤科医院手外科中心，浙江 温岭 317500 |
Department of Hand Surgery Center,the Orthopaedics and Traumatology Hospital of Wenling,Wenling 317500,Zhejiang,China |
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| 徐招跃 |
XU Zhao-yao |
温岭市骨伤科医院手外科中心，浙江 温岭 317500 |
Department of Hand Surgery Center,the Orthopaedics and Traumatology Hospital of Wenling,Wenling 317500,Zhejiang,China |
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| 张灵芝 |
ZHANG Ling-zhi |
温岭市骨伤科医院手外科中心，浙江 温岭 317500 |
Department of Hand Surgery Center,the Orthopaedics and Traumatology Hospital of Wenling,Wenling 317500,Zhejiang,China |
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| 王顺柄 |
WANG Shun-bing |
江苏大丰市同仁骨科医院 |
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| 李俊 |
LI Jun |
温岭市骨伤科医院手外科中心，浙江 温岭 317500 |
Department of Hand Surgery Center,the Orthopaedics and Traumatology Hospital of Wenling,Wenling 317500,Zhejiang,China |
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| 吴发林 |
WU Fa-lin |
江苏大丰市同仁骨科医院 |
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| 郁辉 |
YU Hui |
江苏大丰市同仁骨科医院 |
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| 期刊信息：《中国骨伤》2008年21卷，第1期，第47-48页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：总结Ⅰ期在第2足趾游离移植再造拇(手)指中行趾甲延长的临床应用经验。
方法：采用趾甲延长方法对9例(男7,女2例)第2足趾移植再造拇(手)指的患者进行了趾甲延长术，其中拇指8例，食指1例。年龄18～ 46岁，平均25岁。在再造指距甲根皮缘5 mm处，去除1块矩形皮肤，勿损伤皮下血管网。其高度2 mm,宽度与趾甲相等，将U形皮瓣向近端柔和推剥并缝合。
结果：1例术后供区发生表浅感染，经换敷料逐渐愈合。再造的拇(手)指全部成活，可延长趾甲2～3 mm,改善了再造拇(手)指的外形，无指甲生长畸形发生。随访7个月～2年(平均13个月),趾甲外形较好。
结论：在第2足趾游离移植再造拇(手)指中应用Ⅰ期趾甲延长术，使趾甲从短小向纵向延长，缩小手指甲与足趾甲之间差异，能改善再造拇(手)指甲外形，且不影响再造指的活动功能，是一种简单有效的手术方法。 |
| [关键词]:趾甲 再造 拇(手)指 |
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| One-stage toenail lengthening:a report of 9 cases |
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Abstract:
Objective: To summarize clinical application of one-stage toenail lengthening in free second toe transfer for reconstruction of the thumb(finger).
Methods: Nine patients(male 7,female 2)underwent thumb(finger)reconstruction with second toe transfer were treated by one-stage toenail lengthening technique. Eight were the thumb and 1 was the index finger. Patients aged from 18 to 46 years,with an average of 25 years. A rectangle skin was resected at 0.5 cm away from the eponychium,which was 0.2 cm high and as wide as the toenail. Then stripped U shape flap gently towards proximal end and sutured it. During the operation,the injury of the subcutaneous vascular network should be avoided.
Results: Superficial infection at donor area happened in 1 case and was healed by changing dressings. All the reconstruction thumbs(fingers)had survived completely. 2 to 3 mm extending of toenail length was obtained and the appearance of thumb(finger)was improved. There was no growth deformation of toenail. After 7 to 24 months follow up(the average time 13 months),the appearance of t- he nail was good.
Conclusion: One-stage toenail lengthening in free second toe transfer for reconstruction of the thumb(finger),which can obtain a satisfactory appearance of the nail and have no influence on the motion of the reconstruction thumb(finger),is a simple and an effective operative procedure. |
| KEYWORDS:Toenail Reconstruction Thumb(Finger) |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张功林,郭翱,章鸣,徐招跃,张灵芝,王顺柄,李俊,吴发林,郁辉.Ⅰ期趾甲延长术9例报告[J].中国骨伤,2008,21(1):47~48 |
| 英文格式: | ZHANG Gong-lin,GUO Ao,ZHANG Ming,XU Zhao-yao,ZHANG Ling-zhi,WANG Shun-bing,LI Jun,WU Fa-lin,YU Hui.One-stage toenail lengthening:a report of 9 cases[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(1):47~48 |
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