Vitkus K
Microsurgical Laboratory, Vilna University, Lithuania.
J Reconstr Microsurg. 1988 Oct;4(5):369-80. doi: 10.1055/s-2007-1006946.
This paper reports experiences of 67 toe-to-hand transfers. Success was achieved in all cases. Six cases are discussed that deal with the less investigated problem of long finger reconstruction. Amputation injuries of long fingers through the metacarpus are difficult problems. A determining principle of their restoration consists of the creation of adequate toe length for transfer and correction of biomechanic hyperextension. The report also highlights the advantages of metacarpal reconstruction with the "brass-knuckle" procedure, as the best technique for this type of injury. Aesthetic and functional advantages after such long finger reconstruction and psychological recovery of the patient seem worthy of emulation.
本文报告了67例足趾移植到手部的经验。所有病例均获成功。讨论了6例关于较少研究的长手指重建问题。长手指经掌骨处的截肢损伤是难题。其修复的一个决定性原则是为移植创造足够的足趾长度并纠正生物力学过度伸展。该报告还强调了采用“铜指节”手术进行掌骨重建的优势，这是此类损伤的最佳技术。这种长手指重建后的美学和功能优势以及患者的心理恢复似乎值得效仿。
