Del Piñal Francisco, Pennazzato Davide, Urrutia Esteban
Instituto de Cirugía Plástica y de la Mano, Hospital La Luz, Madrid, Spain; Instituto de Cirugía Plástica y de la Mano, Hospital Mutua Montañesa, Santander, Spain.
Orthopaedics and Traumatology, Department of Biotechnology and Life Sciences (DBSV), University of Insubria, Varese, Italy.
Hand Clin. 2016 Nov;32(4):519-531. doi: 10.1016/j.hcl.2016.07.004.
The thumb should be preserved at all costs, and major efforts to preserve it are justified. If nothing can be done (or desperate measures fail), classic procedures or a toe-to-hand are indicated. This article will not only discuss some tips to succeed in extreme acute scenarios, but will also consider the indications of other alternatives in the acute or subacute setting.
应不惜一切代价保留拇指，为此付出巨大努力是合理的。如果无能为力（或孤注一掷的措施失败），则应采用经典手术或足趾移植到手的方法。本文不仅将讨论在极端急性情况下取得成功的一些技巧，还将考虑急性或亚急性情况下其他替代方法的适应症。
