Cheng G L, Fang G R, Lin B
401 Hospital, People Libertion Army.
Zhonghua Wai Ke Za Zhi. 1994 Feb;32(2):79-81.
In a series of 295 cases of toe-to-finger reconstruction, 30 cases with 40 digits were reconstructed by arterial anastomosis between digital arteries of the toe transplant and the recipient thumb or fingertoe. Among them 5 thumbs were reconstructed by the distal segment of the big toe. 11 thumbs (10 cases), 15 fingers (8 cases) and 1 case with concomitant thumb and 3 fingers were reconstructed by toe transfer. Six cases of thumb pulp defect were also reconstructed by the big toe pulp transfer. The anastomosis of digital arteries instead of dorsalis pedis artery and radial artery and saphenous vein with cephali vein to re-establish circulation is an innovation and has the advantages of simplifying the operative procedure, minimizing operative trauma, reducing operation time, attenuating patients suffering, and obtaining good appearance and function after reconstruction. Besides the operation would not be hindered by anatomical variations of the artery and would reduce blood supply disturbance of the donor foot.
在一系列295例趾-指再造病例中，30例（40指）通过将移植趾的指动脉与受区拇指或手指的动脉进行吻合来进行再造。其中5例拇指采用拇趾远节进行再造。11例拇指（10例患者）、15例手指（8例患者）以及1例同时伴有拇指和3指的病例通过趾移植进行再造。6例拇指指腹缺损也采用拇趾指腹移植进行再造。采用指动脉吻合而非足背动脉、桡动脉以及大隐静脉与头静脉吻合来重建血运是一项创新，具有简化手术操作、使手术创伤最小化、缩短手术时间、减轻患者痛苦以及再造后获得良好外形和功能的优点。此外，手术不会因动脉解剖变异而受到阻碍，并且会减少供足的血供干扰。
