Brown C J, Mackinnon S E, Dellon A L, Bain J R
Division of Plastic Surgery, University of Toronto, Ontario, Canada.
Ann Plast Surg. 1989 Aug;23(2):135-40. doi: 10.1097/00000637-198908000-00007.
Microneurovascular techniques make transfer of innervated soft tissue a reality. The present study investigated the sensory potential of four such donor sites: volar wrist, dorsal hand, dorsal foot, and great toe. Normal moving and static two-point discrimination values for these areas are reported. A sensory reeducation protocol demonstrated that even these normal values may be improved with training. This suggests that the full potential of transferred innervated soft tissue may best be achieved by incorporating sensory reeducation routinely in the postoperative rehabilitation program.
显微神经血管技术使带神经支配的软组织移植成为现实。本研究调查了四个此类供区的感觉潜能:掌侧腕部、手背、足背和拇趾。报告了这些区域正常的动态和静态两点辨别值。一项感觉再训练方案表明,即使是这些正常值也可通过训练得到改善。这表明,通过在术后康复计划中常规纳入感觉再训练,或许能最好地实现移植的带神经支配软组织的全部潜能。