Foucher G
Emergency Hand Unit, Strasbourg, France.
Clin Orthop Relat Res. 1995 May(314):8-12.
A series of 68 second toe-to-long finger transfers in 55 patients, including 52 transfers in 41 patients with mutilating injuries and 16 transfers in 14 patients with congenital deformities, was reviewed. Mean followup was 6.7 years. The failure rate was 6%, and secondary procedures were done in 18% of the patients. In the group with traumatic injuries, mean flexion was 36 degrees, with a mean extension lag of 33 degrees. Two-point discrimination was an average of 11 mm. Grasp was 47% of that for the normal contralateral side, and pinch was 38%. Of the manual workers, 62.5% returned to the same job. Analysis of the congenital series was more difficult. Although mobility was not significantly better in these patients, discrimination was a mean 5 mm (10 patients were tested). Growth plates remained open in 86% of the patients. All patients were able to use their finger to pinch.
回顾了55例患者的68例示指至中指转移手术，其中41例毁损性损伤患者进行了52例转移手术，14例先天性畸形患者进行了16例转移手术。平均随访6.7年。失败率为6%，18%的患者进行了二次手术。创伤性损伤组平均屈曲度为36度，平均伸直滞后33度。两点辨别觉平均为11毫米。握力为对侧正常侧的47%，捏力为38%。体力劳动者中有62.5%恢复了原工作。先天性病例组的分析更困难。尽管这些患者的活动度改善不明显，但辨别觉平均为5毫米（测试了10例患者）。86%的患者生长板仍开放。所有患者均能用手指捏物。
