Webb L Shayne, Dolph James L
Albany Medical Center, Albany, New York, USA.
Can J Plast Surg. 2008 Summer;16(2):92-4. doi: 10.1177/229255030801600203.
Mutilating hand injuries can significantly alter a patient's life. Return to work and daily activities remain the ultimate goal. A case report and long-term follow-up of a patient who caught his hand in a generator fan at work is presented. He sustained an injury that left him with a wrist and metacarpal stump. When prostheses failed, an extra-anatomic second toe transfer was used to produce a functional distal extremity. This transfer allowed the patient to return to his job and was surprisingly durable, resulting in a useful helper hand for 15 years.
手部毁损性损伤会显著改变患者的生活。重返工作岗位和恢复日常活动仍是最终目标。本文介绍了一例患者的病例报告及长期随访情况，该患者在工作时手部被发电机风扇卷入。他受伤后手腕和掌骨残端留存。当假肢失败后，采用了非解剖学的第二趾移植来制造一个功能性的远端肢体。这种移植使患者能够重返工作岗位，而且令人惊讶的是其耐用性良好，形成了一只有用的辅助手长达15年。
