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创伤后手指重建的足趾显微外科移植术

Posttraumatic finger reconstruction with microsurgical transplantation of toes.

作者信息

Wallace Christopher G, Wei Fu-Chan

机构信息

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Chang Gung University Medical College, 199 Tun Hwa North Road, Taipei, Taiwan.

出版信息

Hand Clin. 2007 Feb;23(1):117-28. doi: 10.1016/j.hcl.2006.12.002.

DOI:10.1016/j.hcl.2006.12.002
PMID:17478258
Abstract

This article outlines current methods of toe transplantation as applied to posttraumatic finger reconstruction (excluding the thumb). Key points that are important during the initial assessment and surgical treatment of such injuries are addressed. Reconstructive options for distal and proximal finger injuries, single and multiple finger injuries, and metacarpal hand injuries are presented, and the timing of toe transplantation procedures is discussed. Finally, additional concepts and techniques that, with experience, have proved useful for optimizing functional and esthetic results are highlighted, along with schemes for motor and sensory rehabilitation.

摘要

本文概述了目前应用于创伤后手指重建(不包括拇指)的足趾移植方法。阐述了此类损伤初始评估和手术治疗过程中的要点。介绍了手指远端和近端损伤、单指和多指损伤以及掌骨手部损伤的重建选择,并讨论了足趾移植手术的时机。最后,强调了一些随着经验积累已被证明有助于优化功能和美观效果的其他概念和技术,以及运动和感觉康复方案。

相似文献

1
Posttraumatic finger reconstruction with microsurgical transplantation of toes.创伤后手指重建的足趾显微外科移植术
Hand Clin. 2007 Feb;23(1):117-28. doi: 10.1016/j.hcl.2006.12.002.
2
Thumb and digit reconstruction: toe-to-hand microvascular composite tissue transplantation.拇指与手指再造:足趾至手部的显微血管复合组织移植
Int Surg. 1981 Jan-Mar;66(1):13-8.
3
Great toe-to-thumb microvascular transplantation after traumatic amputation.创伤性截肢后拇趾-拇指微血管移植术
Hand Clin. 2007 Feb;23(1):105-15. doi: 10.1016/j.hcl.2007.01.007.
4
Toe transplantation for reconstruction of the hand.用于手部重建的足趾移植。
W V Med J. 1987 Jul;83(7):319-23.
5
Thumb and finger reconstruction by toe-to-hand transfer.
Hand Clin. 1992 Aug;8(3):551-74.
6
[Second toe transplantation in loss of a long finger. Indications--planning--technique].[长手指缺失的第二趾移植。适应症——规划——技术]
Handchir Mikrochir Plast Chir. 1994 Sep;26(5):262-7.
7
[202 toe transfers to the hand].
Handchir Mikrochir Plast Chir. 1995 Mar;27(2):105-10.
8
[Microsurgery in traumatology. Toe transplantation].
Rev Chir Orthop Reparatrice Appar Mot. 1978 Jun;64(4):299-305.
9
[Free transplant of the toe to the hand using a microsurgical technic].[采用显微外科技术将趾移植至手部的游离移植术]
Khirurgiia (Mosk). 1980 Mar(3):5-6.
10
[Autotransplantation of the 2d toe in the reconstruction of the index finger. The microsurgical technic].
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1988 Sep-Oct;37(5):371-8.

引用本文的文献

1
Neo-digit functional reconstruction of mutilating hand injury using transplantation of multiple composite tissue flaps.应用多种复合组织瓣移植修复毁损手的拇指功能重建
Medicine (Baltimore). 2016 Jul;95(27):e4179. doi: 10.1097/MD.0000000000004179.
2
Functional outcomes of post-traumatic metacarpal hand reconstruction with free toe-to-hand transfer.游离足趾移植重建创伤后掌骨手部的功能结果
Indian J Plast Surg. 2016 Jan-Apr;49(1):16-25. doi: 10.4103/0970-0358.182232.
3
Toe-to-hand transfer: evolving indications and relevant outcomes.
足趾到手转移:不断演变的适应症及相关结果。
J Hand Surg Am. 2013 Jul;38(7):1431-4. doi: 10.1016/j.jhsa.2013.03.020.