Buck-Gramcko U, Buck-Gramcko D
Abteilung für Handchirurgie und Plastische Chirurgie, Berufsgenossenschaftlichen Unfallkrankenhaus Hamburg.
Handchir Mikrochir Plast Chir. 1995 Jul;27(4):181-8.
From 1983 to 1990, 30 free toe transplantations were performed in 30 children suffering from congenital malformations of the hand. Especially the two severe forms of symbrachydactylia presented major indications. In addition to toe transplantation onto the ulnar ray, lengthening of the radial ray was frequently necessary. Whereas 25 transplantations were successful, there were one necrosis and four partial necroses of the toe. In the monodactylous form, all 15 children with successful transplantation showed good and very good functional results. Children suffering from the peromelic form could gain a grip function which could not have been achieved by prosthetic supply alone. The basal joint of the thumb is of major importance since most of the mobility of the two fingers is achieved in this joint. This is true even if the thumb has to be surgically formed. If there is no carpometacarpal joint, a toe transplantation should not be performed since the mobility in the toe joints would be severely limited.
1983年至1990年期间，对30名患有手部先天性畸形的儿童进行了30例游离足趾移植手术。尤其是两种严重形式的短指畸形是主要适应症。除了将足趾移植到尺侧列外，桡侧列的延长也常常是必要的。25例移植手术成功，有1例足趾坏死和4例部分坏死。在单指型病例中，所有15例移植成功的儿童均显示出良好和非常好的功能结果。患有四肢短小畸形的儿童能够获得抓握功能，而这仅靠假肢是无法实现的。拇指的基底关节至关重要，因为两个手指的大部分活动度都是在这个关节实现的。即使拇指需要通过手术塑形，情况也是如此。如果没有腕掌关节，则不应进行足趾移植，因为足趾关节的活动度会受到严重限制。
