Tsai T
J Hand Surg Am. 1979 Mar;4(2):145-9. doi: 10.1016/s0363-5023(79)80130-6.
In multiple finger amputations, microsurgical reconstruction should concentrate on the thumb, index, and middle fingers. The patient in the case report presented in this paper initially sustained an amputation of all of the digits on the left hand and an amputation of the right thumb. Both thumbs were amputated at the metacarpophalangeal joint. Initial replantation of the left thumb, index, and middle fingers and of the right thumb was carried out. The right thumb replantation failed and, after healing, the right great toe was transferred to the right hand. Subsequent to this, the patient developed useful function of all reconstructed digits. Twenty-one months after the first injury, both thumbs sustained new traumatic amputations 1.0 cm distal to the previous amputations. Both thumbs were replanted again successfully.
在多指离断伤中，显微外科重建应着重于拇指、示指和中指。本文病例报告中的患者最初左手所有手指均离断，右手拇指离断。双侧拇指均在掌指关节处离断。最初对左手拇指、示指和中指以及右手拇指进行了再植。右手拇指再植失败，愈合后，将右足大趾转移至右手。此后，患者重建的所有手指均获得了有用的功能。首次受伤21个月后，双侧拇指在先前离断部位远侧1.0 cm处再次遭受创伤性离断。双侧拇指再次成功再植。
