Department of Plastic, Reconstructive, and Hand Surgery, Leeds General Infirmary, Belmont Grove, Leeds, LS2 9NS, UK.
J Plast Reconstr Aesthet Surg. 2011 Jun;64(6):766-75. doi: 10.1016/j.bjps.2010.09.017. Epub 2010 Nov 13.
Our previous study found positive psychosocial effects from hand reconstruction in children, by microsurgical toe transfer. The aim of the current study was to determine whether these are enduring at ten years or more postoperatively. Twenty-five patients with congenital (n=21) or post-traumatic (n=4) hand anomalies underwent transfer of either one or two toes. (Nineteen of the patients had taken part in the previous study while six had not.) All families had undergone preoperative counselling. Ten years or more after surgery, the patients and their parents underwent review to assess the long-term psychosocial outcome of the surgery. As in the previous study, a high level of satisfaction was reported, in terms of function, appearance, donor site, psychosocial well-being and the reactions of others. This was true regardless of the gender of the child. Patient and parent responses were more similar to each other than they had been in the earlier study. It was concluded that the positive effects of toe transfer surgery are enduring at long-term follow-up.
我们之前的研究发现，通过显微外科足趾移植，手部重建对儿童具有积极的心理社会影响。本研究旨在确定这些影响是否在术后十年或更长时间持续存在。25 名患有先天性（n=21）或创伤后（n=4）手部畸形的患者接受了一个或两个足趾的转移。（19 名患者曾参加过之前的研究，而 6 名患者没有。）所有患者家庭都接受了术前咨询。在手术后十年或更长时间，患者及其家长接受了评估，以了解手术的长期心理社会结果。与之前的研究一样，报告显示在功能、外观、供区、心理社会幸福感和他人反应方面，满意度较高。这与孩子的性别无关。患者和家长的反应比之前的研究更相似。研究得出结论，足趾转移手术的积极影响在长期随访中是持久的。
