Микрохирургическа я реконструкци я травмированного боль шого пальца кисти | Вопросы реконструктивной и пластической хирургии. 2013. № 1(44).

Микрохирургическа я реконструкци я травмированного боль шого пальца кисти

Ампутация большого пальца кисти подразумевает серьезную функциональную, эстетическую и психоло- гическую травму. В последние годы его реконструкция была объектом огромного интереса, а возникновение микрохирургии радикально изменило хирургический подход при таких травмах. Комбинированная пересадка большого или второго пальца стопы позволяет реконструировать большой палец кисти с достаточной длиной, чувствительностью и стабильностью захвата, и прежде всего благодаря наличию ногтя, с приемлемой эстетич- ной внешностью и аналогичностью противоположному пальцу. Разные техники микрохирургического пере- мещения говорят о наличии большой свободы при выборе показаний к лечению. Однако если учитывать все факторы, которые нужны для достижения правильных хирургических показаний, возможности значительно ограничиваются. Можно утверждать, что каждый случай ампутации большого пальца в идеале требует спец- ифической методики реконструкции. Целью настоящей работы явилось описание использования различных техник реконструкции, основанных на уровнях ампутации большого пальца, в попытке определить правиль- ную технику в каждом случае, что позволит нам создать индивидуально выполненный большой палец.

Ключевые слова

перенос части большого пальца стопы, перемещение лоскута «обернутый вокруг», перемещение лоскута «отрезанный палец стопы», микрохирургия, ампутация большого пальца кисти, реконструкция большого пальца кисти, Partial great-toe transfer, Wrap-around transfer, Thumb amputationMicrosurgeryTrimmed-toe transfer, Thumb reconstruction

Авторы

ФИООрганизацияДополнительноE-mail
Морандини Э.Университетский Госпиталь Вероны
Адани РобертоУниверситетский Госпиталь Вероныroberto.adani@ospedaleuniverona.it
Всего: 2

Ссылки

Adani R., Castagnini L., Castagnetti C., Busa R., Mingione A. La ricostruzione del pollice mediante lembi liberi dal piede. GIOT 1998;24:233-44.
Adani R., Tarallo L., Castagnetti C. Reconstruction of traumatic dorsal loss of the thumb: selection of three different techniques. J Reconstr Microsurg 2002;18:447.
Weiss A.-P. C., Steichen J. B. Reconstruction of traumatic absence of the thumb by alternative microsurgical methods of reconstruction. Hand Clin 1992;8: 33-9.
Wang W. Keys to successful toe-to-hand transfer. A review of 30 cases. J Hand Surg [Am] 1983;8:902-6.
Yu Z. J., Ho H. G., Cheng T. C. H. Micorsurgical reconstruction of the amputated hand. J ReconstrMicrosurg 1984;1:161-5.
Matev I. B. Thumb reconstruction through metacarpal bone lenghtening. J Hand Surg [Am] 1980;5:482-87.
Chang T. S., Wang W., Wu J. B. Free transfer of the second toe combined with dorsalispedis flap using microvascular technique for reconstruction of the thumb and other fingers. Ann Acad Med Singapore 1979;8:403-12.
Matev I. B. Thumb reconstruction after amputation of the metacarpophalangeal joint by bone lenghtening. A preliminary report of three cases. J Bone Joint Surg [Am] 1970;52:957-65.
Leung P. C. Thumb reconstruction using second toe transfer. Hand Clin 1985;1:285-95.
Tsai T. M., McCabe S., Beatty M. E. Second toe transfer for thumb reconstruction in multiple digit amputations including thumb and basal joint. Microsurgery 1987;8:146-53.
Tsai T. M., Aziz W. Toe to thumb transfer: a new technique. PlastReconstrSurg 1991;88:149-53.
Barca F., Santi A., Tartoni P. L., Landi A. Gait analysis of the donor foot in microsurgical reconstruction of the thumb. Foot Ankle Int 1995;16:201-6.
Tiamfook T., Sartoris D. J., Goldberg J. Radiographic alterations in the foot following toe-to-thumb free transfer. J Foot Ankle Surg 1994;33:283-9.
Lipton H. A., May J. W., Simon S. R. Preoperative and postoperative gait analysis of patients undergoing great toe-tothumb transfer. J Hand Surg [Am] 1987;12:66-9.
Buncke H. J., Buncke G. M., Lineaweaver W. C. Bad results after large toe-to-thumb transplantation. Ann Chir Main Memb Super 1991;10:513-6.
Valuri F. A., Buncke H. J. Thumb reconstruction great toe transfer. ClinPlastSurg 1989;16:475-89.
Buncke H. J., Valauri F. A. Big toe to thumb transfer. In: Landi A editor. Reconstruction of the thumb.London:Chapman and Hall Medical; 1989.p.242-53.
Buncke H. J., MacLean D. H., Gearge P. T., Creech B. J., Chater N. L., Commons G. W. Thumb replacement: great toe transplantation by microvascular anastomosis. Br J PlastSurg 1973;26:194-201.
Lee K. S., Park W.-S., Chung W.-K. Thumb reconstruction with wrap around free flap according to the level of amputation. J Hand Surg [Am] 2000:25:644-50.
Iglesias M., Burton P., Serrano A. Thumb reconstruction with extended twisted toe flap. J Hand Surg [Am] 1995;20:731-6.
Wei F. C., Chen H. C., Chuang C. C., Chen S. H. T. Microsurgical thumb reconstruction with toe transfer: selection of various techniques. PlastReconstrSurg 1994;93:345-51.
Upton J., Multimer K. L. A modification of the great toe transfer for thumb reconstruction.Plast ReconstrSurg 1988;82:535-8.
Adani R., Busa R., Castagnetti C., Castagnini L., Caroli A. Replantation of degloved skin of the hand. PlastReconstrSurg 1998; 101:1544-51.
Adani R., Castagnetti C., Landi A. Degloving injuries of the hand and fingers. ClinOrthop 1995;314:19-25.
Lee K. S., Chae I. J., Hahn S. B. Thumb reconstruction with a free neurovascular wrap-around flap from the big toe: long term follow-up of thirty cases. Microsurgery 1995;16:692-7.
Steichen J. B. Complications and bad results of thumb reconstruction by the microvascular “wrap-around” technique. Ann Chir Main Memb Super 1991;10:523-8.
Doi K., Kuwata N., Kawai S. Reconstruction of the thumb with a free wrap-around flap from the big toe and an iliac-bone graft. J Hand Surg [Am] 1985;67:439-45.
Lowdon I. M. R., Nunley J. A., Goldner R. D., Urbaniak J. R.The wrap-around procedure for thumb and finger reconstruction. Microsurgery 1987;8:154-7.
Nunley J. A., Goldner R. D., Urbaniak J. R. Thumb reconstruction by the wrap-around method. ClinOrthop 1985;195:97-103.
Adani R., Cardon L. J., Castagnetti C., Pinelli M. Distal thumb reconstruction using a mini wrap-around flap from the great toe. J Hand Surg [Br] 1999;24:437-42.
Woo S. H., Seul J. H. Distal thumb reconstruction with a great toe partial-nail preserving transfer technique.PlastReconstrSurg 1998;101:114-9.
Hirase Y., Kojima T., Matsui M. Aesthetic fingertip reconstruction with a free vascularized nailgraft: a review of 60 flaps involving partial toe transfer. PlastReconstrSurg 1997;99:774-84.
Koshima I., Etoh H., Morighuci T., Soeda S. Sixty cases of partial or total toe transfer for repair of finger losses. PlastReconstrSurg 1993;92:1331-8.
Steichen J. B., Weiss A. P. Reconstruction of traumatic absence of the thumb by microvascular free tissue transfer from the foot. Hand Clin 1992;8:17-32.
Greenberg B. M., May J. W. Great toe-to-hand transfer: role of the preoperative lateral arteriogram of the foot. J Hand Surg [Am] 1988;13:423-6.
Lister G. D., Kalisman M., Tsai T. M. Reconstruction of the hand with free microneurovascular toe to hand transfer. PlastReconstrSurg 1983;71:372-84.
Hentz V. R. Conventional technique for thumb reconstruction, ClinOrthop 1985;195:129-43.
Morrison W. A. Thumb reconstruction: a review and philosophy of management. J Hand Surg [Br] 1992;17:383-90.
Wei J. N., Wang S. H., Li Y. N. Reconstruction of the Thumb.ClinOrthop 1987;215:24-31.
Littler J. W. On making a thumb: one hundred years of surgical effort. J Hand Surg [Am] 1976;1:35-51.
Merle M. A critical study of thumb reconstruction by second toe transfer. Ann Chir Main Memb Super 1991;10:517-22.
Stirckland J. W., Kleinman W. B. Thumb reconstruction. In Green DP, editor.Operative Hand Surgery.Vol. 2, edition 3. New York:Churchill Livingstone; 1993.p2043-156.
Morrison W. A., O’Brien B. M., MacLeod A. M. Experience with thumb reconstruction. J Hand Surg [Br] 1984;9:223-33.
Leung P. C. Thumb reconstruction using second toe transfer. Hand 1983;15:15-21.
Le Quang C. Le pouce dans le mutilations de la main. Indications de la chirurgie reconstructrice. Ann ChirPlastEsthet 1993;38:413-22.
Foucher G., Braun F., Smith D. J. Custom-made free vascularized compound toe transfer for traumatic dorsal loss of the thumb.Plast Reconstr Surg 1991;87:310-14.
Foucher G., Merle M., Maneaud M., Michon J. Microsurgical free partial toe transfer in hand reconstruction: a report of cases. PlastReconstrSurg 1980;65:616-26.
Morrison W. A., O’Brien B. M., MacLeod A. M. Thumb reconstruction with a free neurovascular wrap-around flap from the big toe. J Hand Surg [Am] 1980;5:575-83.
Gilbert A. composite tissue transfer from the foot: anatomic basis and surgical technique. In: Daniller AI, Strauch B, editors. Symposium on Microsurgery. St Louis:CV Mosby;1976.p.216-29.
O’Brien B. M., MacLeod A. M., Sykes P. D., Donahoe S. Hallux to hand transfer. Hand 1975;7:128-33.
Cobbett J. R. free digital transfer: report of a case of transfer of a great toe to replacement an amputated thumb // J Bone Joint Surg [Br]. — 1969; 51:677-9.
American Replantation Mission to China: replantation surgery in China // Plast Reconstr Surg. — 1973; 52:476-89.
Buncke H. J., Buncke C. M., Schulz W. P. Immediate Nicoladoni procedure in the Rhesus monkey, or hallux-to-hand transplantation, utilisingmicrominiature vascular anastomose // Br J Plast Surg. — 1966; 19:332-7.
Guermonprez F. Notes sur quelques resection et restaurations du pouce. — Paris : Asselin, 1877.
Haeseker B. The centenary of innovative reconstructive hand surgery by Carl Nicoladoni // Br J Plast Surg. — 1991; 44:306-9.
Huguier P. C. Remplacement du pouce par son metacarpien, par l’agrandissement du premier espace interosseoux // Archives de Generale Medicin. — Paris, 1874; 1:78-82.
Shin A. Y., Bishop A. T., Berger R. A. Microvascular reconstruction of the traumatized thumb // Hand Clin. — 1999; 15:347—71.
Wei F. C., Chen H. C., Chuang C. C., Noordhoff M. S. Reconstruction of the thumb with a trimmed-toe-transfer technique // Plast Reconstr Surg. — 1988; 82:506-15.
58. Adani R., Castagnini L., Castagnetti C., Busa R., Mingione A. La ricostruzione del pollice mediante lembi liberi dal piede.GIOT 1998;24:233-44.
57. Adani R., Tarallo L., Castagnetti C. Reconstruction of traumatic dorsal loss of the thumb: selection of three differenttechniques. J Reconstr Microsurg 2002;18:447.
56. Weiss A.-P. C., Steichen J. B. Reconstruction of traumatic absence of the thumb by alternative microsurgical methods ofreconstruction. Hand Clin 1992;8: 33-9.
55. Yu Z. J., Ho H. G., Cheng T. C. H. Micorsurgical reconstruction of the amputated hand. J Reconstr Microsurg 1984;1:161-5.
54. Wang W. Keys to successful toe-to-hand transfer. A review of 30 cases. J Hand Surg [Am] 1983;8:902-6.
53. Chang T. S., Wang W., Wu J. B. Free transfer of the second toe combined with dorsalis pedis flap using microvasculartechnique for reconstruction of the thumb and other fingers. Ann Acad Med Singapore 1979;8:403-12.
52. Matev I. B. Thumb reconstruction through metacarpal bone lenghtening. J Hand Surg [Am] 1980;5:482-87.
51. Matev I. B. Thumb reconstruction after amputation of the metacarpophalangeal joint by bone lenghtening. A preliminaryreport of three cases. J Bone Joint Surg [Am] 1970;52:957-65.
49. Leung P. C. Thumb reconstruction using second toe transfer. Hand Clin 1985;1:285-95.
50. Tsai T. M., McCabe S., Beatty M. E. Second toe transfer for thumb reconstruction in multiple digit amputations includingthumb and basal joint. Microsurgery 1987;8:146-53.
48. Tsai T. M., Aziz W. Toe to thumb transfer: a new technique. Plast Reconstr Surg 1991;88:149-53.
47. Barca F., Santi A., Tartoni P. L., Landi A. Gait analysis of the donor foot in microsurgical reconstruction of the thumb.Foot Ankle Int 1995;16:201-6.
46. Tiamfook T., Sartoris D. J., Goldberg J. Radiographic alterations in the foot following toe-to-thumb free transfer. J FootAnkle Surg 1994;33:283-9.
45. Lipton H. A., May J. W., Simon S. R. Preoperative and postoperative gait analysis of patients undergoing great toe-tothumbtransfer. J Hand Surg [Am] 1987;12:66-9.
43. Valuri F. A., Buncke H. J. Thumb reconstruction great toe transfer. Clin Plast Surg 1989;16:475-89.
44. Buncke H. J., Buncke G. M., Lineaweaver W. C. Bad results after large toe-to-thumb transplantation. Ann Chir MainMemb Super 1991;10:513-6.
42. Buncke H. J., Valauri F. A. Big toe to thumb transfer. In: Landi A editor. Reconstruction of the thumb. London:Chapmanand Hall Medical; 1989.p.242-53.
41. Buncke H. J., MacLean D. H., Gearge P. T., Creech B. J., Chater N. L., Commons G. W. Thumb replacement: great toetransplantation by microvascular anastomosis. Br J Plast Surg 1973;26:194-201.
40. Lee K. S., Park W.-S., Chung W.-K. Thumb reconstruction with wrap around free flap according to the level of amputation.J Hand Surg [Am] 2000:25:644-50.
39. Iglesias M., Burton P., Serrano A. Thumb reconstruction with extended twisted toe flap. J Hand Surg [Am] 1995;20:731-6.
37. Upton J., Multimer K. L. A modification of the great toe transfer for thumb reconstruction. Plast Reconstr Surg1988;82:535-8.
38. Wei F. C., Chen H. C., Chuang C. C., Chen S. H. T. Microsurgical thumb reconstruction with toe transfer: selection ofvarious techniques. Plast Reconstr Surg 1994;93:345-51.
35. Adani R., Castagnetti C., Landi A. Degloving injuries of the hand and fingers. Clin Orthop 1995;314:19-25.
36. Adani R., Busa R., Castagnetti C., Castagnini L., Caroli A. Replantation of degloved skin of the hand. Plast Reconstr Surg1998; 101:1544-51.
34. Lee K. S., Chae I. J., Hahn S. B. Thumb reconstruction with a free neurovascular wrap-around flap from the big toe: longterm follow-up of thirty cases. Microsurgery 1995;16:692-7.
33. Steichen J. B. Complications and bad results of thumb reconstruction by the microvascular “wrap-around” technique.Ann Chir Main Memb Super 1991;10:523-8.
32. Doi K., Kuwata N., Kawai S. Reconstruction of the thumb with a free wrap-around flap from the big toe and an iliac-bonegraft. J Hand Surg [Am] 1985;67:439-45.
30. Nunley J. A., Goldner R. D., Urbaniak J. R. Thumb reconstruction by the wrap-around method. Clin Orthop 1985;195:97-103.
31. Lowdon I. M. R., Nunley J. A., Goldner R. D., Urbaniak J. R. The wrap-around procedure for thumb and fingerreconstruction. Microsurgery 1987;8:154-7.
29. Adani R., Cardon L. J., Castagnetti C., Pinelli M. Distal thumb reconstruction using a mini wrap-around flap fromthe great toe. J Hand Surg [Br] 1999;24:437-42.
28. Woo S. H., Seul J. H. Distal thumb reconstruction with a great toe partial-nail preserving transfer technique. Plast ReconstrSurg 1998;101:114-9.
26. Koshima I., Etoh H., Morighuci T., Soeda S. Sixty cases of partial or total toe transfer for repair of finger losses. PlastReconstr Surg 1993;92:1331-8.
27. Hirase Y., Kojima T., Matsui M. Aesthetic fingertip reconstruction with a free vascularized nailgraft: a review of 60 flapsinvolving partial toe transfer. Plast Reconstr Surg 1997;99:774-84.
25. Steichen J. B., Weiss A. P. Reconstruction of traumatic absence of the thumb by microvascular free tissue transfer fromthe foot. Hand Clin 1992;8:17-32.
24. Greenberg B. M., May J. W. Great toe-to-hand transfer: role of the preoperative lateral arteriogram of the foot. J HandSurg [Am] 1988;13:423-6.
22. Hentz V. R. Conventional technique for thumb reconstruction, Clin Orthop 1985;195:129-43.
23. Lister G. D., Kalisman M., Tsai T. M. Reconstruction of the hand with free microneurovascular toe to hand transfer. PlastReconstr Surg 1983;71:372-84.
21. Wei J. N., Wang S. H., Li Y. N. Reconstruction of the Thumb. Clin Orthop 1987;215:24-31.
19. Littler J. W. On making a thumb: one hundred years of surgical effort. J Hand Surg [Am] 1976;1:35-51.
20. Morrison W. A. Thumb reconstruction: a review and philosophy of management. J Hand Surg [Br] 1992;17:383-90.
17. Stirckland J. W., Kleinman W. B. Thumb reconstruction. In Green D. P., editor. Operative Hand Surgery. Vol. 2, edition 3.New York:Churchill Livingstone; 1993.p2043-156.
18. Merle M. A critical study of thumb reconstruction by second toe transfer. Ann Chir Main Memb Super 1991;10:517-22.
16. Morrison W. A., O’Brien B. M., MacLeod A. M. Experience with thumb reconstruction. J Hand Surg [Br] 1984;9:223-33.
15. Leung P. C. Thumb reconstruction using second toe transfer. Hand 1983;15:15-21.
14. Le Quang C. Le pouce dans le mutilations de la main. Indications de la chirurgie reconstructrice. Ann Chir Plast Esthet1993;38:413-22.
13. Foucher G., Braun F., Smith D. J. Custom-made free vascularized compound toe transfer for traumatic dorsal loss ofthe thumb. Plast Reconstr Surg 1991;87:310-14.
11. Morrison W. A., O’Brien B. M., MacLeod A. M. Thumb reconstruction with a free neurovascular wrap-around flap fromthe big toe. J Hand Surg [Am] 1980;5:575-83.
12. Foucher G., Merle M., Maneaud M., Michon J. Microsurgical free partial toe transfer in hand reconstruction: a report of12 cases. Plast Reconstr Surg 1980;65:616-26.
10. Gilbert A. composite tissue transfer from the foot: anatomic basis and surgical technique. In: Daniller A. I., Strauch B.,editors. Symposium on Microsurgery. St Louis: CV Mosby;1976.p.216-29.
9. O’Brien B. M., MacLeod A. M., Sykes P. D., Donahoe S. Hallux to hand transfer. Hand 1975;7:128-33.
8. Cobbett J. R. free digital transfer: report of a case of transfer of a great toe to replacement an amputated thumb. J BoneJoint Surg [Br] 1969;51:677-9.
7. American Replantation Mission to China: replantation surgery in China. Plast. Reconstr. Surg. 1973;52:476-89.
6. Buncke H. J., Buncke C. M., Schulz W. P. Immediate Nicoladoni procedure in the Rhesus monkey, or hallux-to-handtransplantation, utilising microminiature vascular anastomose. Br. J. Plast. Surg. 1966;19:332-7.
5. Haeseker B. The centenary of innovative reconstructive hand surgery by Carl Nicoladoni. Br. J. Plast. Surg. 1991;44:306-9.
3. Huguier P. C. Remplacement du pouce par son metacarpien, par l’agrandissement du premier espace interosseoux. Archivesde Generale Medicin (Paris) 1874;1:78-82.
4. Guermonprez F. Notes sur quelques resection et restaurations du pouce. Paris: Asselin; 1877.
Shin A. Y., Bishop A. T., Berger R. A. Microvascular reconstruction of the traumatized thumb. Hand Clin 1999;15:347-71.
2. Wei F. C., Chen H. C., Chuang C. C., Noordhoff M. S. Reconstruction of the thumb with a trimmed-toe-transfer technique.Plast Reconstr Surg 1988;82:506-15.
 Микрохирургическа я реконструкци я травмированного боль шого пальца кисти | Вопросы реконструктивной и пластической хирургии. 2013. № 1(44).

Микрохирургическа я реконструкци я травмированного боль шого пальца кисти | Вопросы реконструктивной и пластической хирургии. 2013. № 1(44).