Chung Kevin C, Kotsis Sandra V
Section of Plastic Surgery, Department of Surgery, The University of Michigan Health System, 1500 E Medical Center Drive, 2130 Taubman Center, Ann Arbor, MI 48109-0340, USA.
J Hand Surg Am. 2002 Jul;27(4):652-8. doi: 10.1053/jhsu.2002.33706.
Two farmers who sustained amputations of all digits in the dominant hand had hand reconstructions with 3 toes from both feet. Both patients were monitored with hand function tests and validated outcomes questionnaires (Michigan Hand Outcomes Questionnaire and Short Form-36). Long-term follow-up data showed that both patients were able to use the reconstructed hands for activities of daily living and heavy manual farm labor. Until the immunologic problems associated with hand transplantation are solved, multiple toe transfer for total hand reconstruction is a reliable surgical treatment for these patients.
两名优势手所有手指均被截肢的农民接受了用双脚的3个脚趾进行手部重建的手术。对两名患者均进行了手功能测试和经过验证的结局问卷（密歇根手部结局问卷和简明健康调查问卷-36）监测。长期随访数据显示，两名患者均能够使用重建后的手进行日常生活活动和繁重的体力农活。在与手部移植相关的免疫问题得到解决之前，多趾转移全手重建术对于这些患者而言是一种可靠的外科治疗方法。
