复合组织瓣重建足第二趾巨趾|增生|复合组织|外科|巨趾|畸形|足趾|骨科

足部第二趾巨趾治疗方法很多

- 跖列切除

Kim J , Park J W , Hong S W ,et al.Ray amputation for the treatment of foot macrodactyly in children[J].The bone & joint journal. 2015(10):97/B.DOI:10.1302/0301-620X.97B10.

-Tsgue 津下法

BARSKY, A. Macrodactyly J BONE JOINT SURG AM. 1967; 49 (7): 1255-1266.

- 趾甲瓣

Uemura, T., et al. (2005). "A case of toe macrodactyly treated by application of a vascularised nail graft."

Br J Plast Surg 58(7): 1020-1024.

- 双侧趾动脉皮瓣

Josh, F., et al. (2021). "Phalangectomy combination double-pedicled digital artery flap for second-toe macrodactyly reconstruction: A case report." Int J Surg Case Rep 81: 105767.

- 跖骨榫卯截骨

Li, D., et al. (2022). "[Effectiveness analysis of metatarsal mortise and tenon shortening osteotomy in treatment of macrodactyly in children]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 36(4): 405-409.

对文献中巨趾修复方法的思考

国人希望保留 5 个足趾

减容达到从长度厚度宽度满意

既往是从如何把一个畸形的足趾修复成接近正常的样子，是否可以逆向思维，一个正常的足趾需要哪些组织，巨趾原本组织增生足够多，我们把一个正常足趾需要的零件从巨趾上取走，重新组合即可。