Eaton C J, Lister G D
Department of Surgery, University of Utah, Salt Lake City 84132.
Microsurgery. 1991;12(3):186-95. doi: 10.1002/micr.1920120308.
Toe-to-hand transfer is a well-established reconstructive option for certain congenital hand anomalies. It is the only technique which can add growth potential to the immature skeleton. Toe transfer is best suited for constriction ring amputations, which have relatively normal proximal anatomy. Transfers should be performed early in life to avoid lack of cortical integration of the new part. Anatomic variations of both hand and foot are often encountered, which influence both operative approach and functional prognosis. Indications, techniques, and complications are reviewed.
足趾移植到手是治疗某些先天性手部畸形的一种成熟的重建方法。它是唯一一种能为未成熟骨骼增加生长潜力的技术。足趾移植最适合于近端解剖结构相对正常的缩窄环截肢。移植应在患者幼年时进行，以避免新移植部分的皮质整合不良。手部和足部的解剖变异经常会遇到，这会影响手术入路和功能预后。本文对其适应证、技术及并发症进行了综述。
