O'Brien B, MacLeod A M, Sykes P J, Browning F S, Threlfall G N
J Hand Surg Am. 1978 Mar;3(2):123-33. doi: 10.1016/s0363-5023(78)80059-8.
Reconstruction of a severely damaged hand, with multiple amputations of digits, presents a difficult reconstructive problem. The development of a safe method of transfer of the great toe for thumb reconstruction, using the dorsalis pedis artery and the saphenous vein, suggested the possibility of one-stage microvascular transfer of the second toe for reconstruction of fingers. In two patients a one-stage transfer of the second toe was done to replace an index finger and in another for restoration of part of the left ring finger. The transplants survived without anticoagulants and vessel complications were not encountered. Sensory return was adequate and a significant improvement in function was achieved.
严重受损且多个手指被截肢的手部重建是一个棘手的重建难题。利用足背动脉和大隐静脉将大脚趾转移用于拇指重建的安全方法的发展，提示了二期脚趾微血管转移用于手指重建的可能性。在两名患者中，二期脚趾被一期转移以替代食指，在另一名患者中用于修复左手环指的一部分。移植的脚趾在未使用抗凝剂的情况下存活，且未出现血管并发症。感觉恢复良好，功能得到显著改善。
