Cheng G L, Pan D D, Qu Z Y
Ann Plast Surg. 1985 Oct;15(4):356-66. doi: 10.1097/00000637-198510000-00014.
Three cases of mutilating injury of the distal end of the forearm, wrist, and palm treated by transplantation of severed digits to the forearm stump are reported. Follow-up examinations made at 1 year and 4 months to 31/2 years postoperatively revealed fair sensory and motor functions. The functional result is better than that obtained after Krukenberg's operation or prosthesis fitting, and is comparable to that of "hand" reconstruction by autotransplantation of toes. Since this procedure can fulfill the basic requirements of hand function by reconstruction, namely, good sensibility; basic motor functions of pinching, grasping, and powerful gripping; and acceptable outward appearance, and can be accomplished in a one-stage operation without sacrificing toes, it should be considered as first choice whenever a suitable case is encountered.
报告了3例通过将离断手指移植到前臂残端治疗前臂远端、腕部和手掌毁损性损伤的病例。术后1年4个月至3年半进行的随访检查显示感觉和运动功能尚可。功能结果优于克鲁肯伯格手术或安装假肢后的结果，与自体移植足趾进行“手”重建的结果相当。由于该手术可以通过重建满足手部功能的基本要求，即良好的感觉；捏、抓握和强力握持的基本运动功能；以及可接受的外观，并且可以在一期手术中完成而不牺牲足趾，因此在遇到合适病例时应将其视为首选。
