複数の指の切断を伴う母指再建のための両側母指化術:症例報告
Kaoru Sasaki1, Junya Oshima1, Masahiro Sasaki1
1Department of Plastic and Reconstructive Surgery, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Journal of plastic and reconstructive surgery
|February 3, 2026
まとめ
母指化術は、両側の母指喪失を含む複数の指の切断における母指再建の実行可能な選択肢である。この手術法は、特定の患者シナリオにおいて遊離皮弁移植よりも利点を提供する。
科学分野:
- 手の外科;再建外科;マイクロサージェリー
背景:
- 母指化術は母指再建において長い歴史を持つ。;マイクロサージェリーと遊離足趾組織移植は母指化術の適応を減少させた。;特に複数の指の切断における母指化術の適応については議論が続いている。
研究 の 目的:
- 複数の指の切断に対する両側母指化術の症例を提示する。;このような症例における母指化術の長期的な機能的転帰を評価する。
主な方法:
- 両側の母指と複数の指を失った31歳男性患者の症例報告。;患者は両側母指化術を受けた。;術後3年9ヶ月時点での手術結果と手の機能の評価。
主要な成果:
- 患者は良好な術後経過を示した。;機能的手の評価は、術後3.5年以上で肯定的な結果を示した。;両側の母指化術による両母指の再建に成功した。
結論:
- 母指化術は、特に複数の指の切断における母指喪失に対する価値ある再建術であり続ける。;特に母指球筋が機能的な場合には、遊離皮弁移植の実行可能な代替手段である。;この症例は、複雑な手の再建における母指化術の継続的な使用を支持する。
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