Tan B K, Wei F C, Chang K J, Lutz B S, Chen S H
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Hand Clin. 1999 Nov;15(4):589-96, viii.
Multiple toe transplantation has been established as an effective technique for restoring prehensile ability in the metacarpal hand. The combined third and fourth toe transplant is a new toe transplant that has been developed for bilateral metacarpal hand reconstruction. Since 1991, the combined third and fourth toe transplant was added to the armamentarium of toe transplants for metacarpal hands, although its role in metacarpal hand reconstruction has not been described previously. This article introduces the indications for combined third and fourth toe transplant, outlines relevant vascular anatomy, and discusses technical considerations pertaining to toe harvest and transplantation.
多趾移植已被确立为恢复掌部手部抓握能力的有效技术。第三和第四趾联合移植是一种为双侧掌部手部重建而开发的新型趾移植。自1991年以来，第三和第四趾联合移植被纳入用于掌部手部的趾移植手段中，尽管其在掌部手部重建中的作用此前尚未被描述。本文介绍了第三和第四趾联合移植的适应证，概述了相关的血管解剖，并讨论了与趾切取和移植相关的技术要点。
