Gordon L, Leitner D W, Buncke H J, Alpert B S
J Hand Surg Am. 1985 Mar;10(2):218-25. doi: 10.1016/s0363-5023(85)80108-8.
Double microvascular toe transplant procedures were used to restore function in 16 mutilated hands. In eight hands, both opposing surfaces were reconstructed with the great toe or second toe used for the thumb and the contralateral second toe for the ulnar side of the hand. In eight hands in which the thumb was still present, two fingers were reconstructed with a second toe from each foot. All 33 transplanted toes survived. In all patients, hand function was substantially improved, with an average of 9.15 pounds of pinch strength between the transplanted opposing digits or the transplanted digit and a normal thumb. Adequate sensibility was restored. The two transplant procedures were done sequentially in six patients, while the two transplantations were performed simultaneously in 10 patients. Simultaneous reconstruction proved time- and cost-effective.
采用双足微血管趾移植手术修复16例毁损手的功能。8例患者，用拇趾或第二趾重建双手相对面，其中拇趾用于重建拇指，对侧第二趾用于重建手的尺侧。8例拇指尚存的患者，用双足的第二趾各重建一根手指。33个移植趾全部存活。所有患者的手功能均有显著改善，移植的相对指或移植指与正常拇指之间的平均捏力为9.15磅。恢复了足够的感觉功能。6例患者先后进行了两次移植手术，10例患者同时进行了两次移植手术。同时重建手术证明既节省时间又经济高效。
