Wallace Christopher G, Wei Fu-Chan
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Chang Gung University Medical College, 199 Tun Hwa North Road, Taipei, Taiwan.
Hand Clin. 2007 Feb;23(1):117-28. doi: 10.1016/j.hcl.2006.12.002.
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.
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。