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手部重建手术中的足趾移植至手部。71例经验。

Toe-to-hand transfers in reconstructive surgery of the hand. Experience with seventy-one cases.

作者信息

Foucher G, Van Genechten F, Merle M, Denuit P, Braun F M, Debry R, Sur H

出版信息

Ann Chir Main. 1984;3(2):124-38. doi: 10.1016/s0753-9053(84)80022-8.

DOI:10.1016/s0753-9053(84)80022-8
PMID:6529290
Abstract

Based on a homogeneous series of 71 toe-to-hand transfers performed between February 1975 and December 1982 the same surgeon, the authors have tried to define their present day indications. Technical modifications have been described for the second toe transfer : isolated dorsal approach of the toe with early-stage resection of the second metatarsal bone, utilisation of the plantar metatarsal artery of the second interosseous space, utilisation of the volar vessels for the anastomosis at the recipient site, dorsal subcutaneous tunnel for the venous anastomosis of the hand. Aside from the usual indications for thumb reconstruction (11 cases) and 26 cases of transfers for reconstruction in long finger injuries, the indications for partial transfers have become more and more frequent : pulpar (9 cases), pulp + bone + nail (10 cases), isolated nail (1 case), nail + bone (2 cases), first web space (1 case), double twisted toe (5 cases) and articular (6 cases) transfers.

摘要

基于1975年2月至1982年12月间由同一位外科医生进行的71例从足趾到手的转移手术的同类系列病例,作者试图明确当前的适应症。文中描述了第二足趾转移的技术改进:采用足趾单独的背侧入路并早期切除第二跖骨,利用第二骨间间隙的足底跖动脉,利用掌侧血管在受区进行吻合,在手背做皮下隧道用于静脉吻合。除了拇指再造的常见适应症(11例)以及26例用于重建长手指损伤的转移手术外,部分转移的适应症越来越常见:指腹(9例)、指腹+骨+指甲(10例)、单独指甲(1例)、指甲+骨(2例)、第一蹼间隙(1例)、双扭转足趾(5例)以及关节(6例)转移。

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Toe-to-hand transfers in reconstructive surgery of the hand. Experience with seventy-one cases.手部重建手术中的足趾移植至手部。71例经验。
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