Reconstruction of Multi-Finger Defects

Abstract

Multiple finger reconstruction is the operation refers to two or more fingers defect caused by a variety of reasons in people’s daily life. In order to maximize the recovery of the function and appearance of the injured hand, doctors use microscopes and microsurgical instruments to carry out vascular, nerve anastomosis, and other operations on the patient’s own toe transplantation to reconstruct and restore the original tissue anatomical structure and function.

Reconstruction of multi-finger defects is still a difficult point in hand surgery, and its treatment is controversial. Two key issues need to be considered: First, the reconstruction of partial function of the hand and second, avoid damage to foot function. The aim of the reconstruction of multi-finger defect should be to reconstruct the pinching function, and not to pursue the quantity and ideal appearance of the reconstructed finger. The more proximal the plane of toe transplantation and the greater the number of toe grafts, the greater the influence on the function of the foot, which requires careful selection. The classic method of reconstruction of two fingers with the second toe of both feet and tissue flap in this chapter, which can not only rebuild part of the hand function, but also have little effect on the function of the donor site.