Rahman Mohammad Fazlur, Nizam Mazhar
Department of Plastic, Burns and Hand Surgery, Patel Hospital, Gulshan-e-Iqbal, Karachi, Pakistan.
J Coll Physicians Surg Pak. 2013 Aug;23(8):601-3.
A 14 years old girl lost all the fingers of her right hand except the thumb in a Toka (fodder chopping machine) 4 months ago. The fingers had been amputated at the level of the metacarpophalangeal joint. A double toe transfer was done using the second and third toes of her right foot to reconstruct the second and third digits of her right hand using microvascular technique. Bones were fixed with K-wires, corresponding tendons and nerves were attached, the dorsalis pedis artery was anastamosed end-to-side to the radial artery and the vein was anastamosed to the cephalic vein. The patient recovered well. K-wires were removed at 6 weeks and physiotherapy was started. After 4 months, the patient was able to use the hand for normal hand function and could make a tripod pinch.
4个月前，一名14岁女孩在一台剁草机事故中失去了右手除拇指外的所有手指。手指在掌指关节水平处被截断。采用微血管技术，将她右脚的第二和第三趾进行双趾移植，以重建右手的第二和第三指。用克氏针固定骨骼，连接相应的肌腱和神经，将足背动脉与桡动脉进行端侧吻合，静脉与头静脉吻合。患者恢复良好。6周时取出克氏针并开始物理治疗。4个月后，患者能够用手进行正常的手部功能活动，并能进行三指捏。
