Graf P, Wei F C, Gröner R, Biemer E
Abteilung für Plastische und Wiederherstellungschirurgie, Technischen Universität, Klinkum rechts der Isar, München.
Handchir Mikrochir Plast Chir. 1994 Sep;26(5):262-7.
Transplantation of the second toe is a routinely employed method in reconstructive hand surgery. Most often it is used for thumb or midhand amputations. Following partial amputations of digits distal to the MP-joints, toe transplantations are less frequently employed. However, function as well as cosmesis of the hand after partial amputation of digits can considerably be improved by toe transplantation. The length of the reconstructed finger is a most important aspect of operative planning which has influence on operative technique as well as functional and aesthetic results. A smooth junction at the base of the transplanted toe should be maintained. This can be achieved by adequate soft-tissue reduction and exclusion of the metatarsophalangeal joint. Anastomoses of the subcutaneous venous and plantar as well as dorsal arterial vascular systems are recommended.
第二足趾移植是手部重建手术中常用的方法。最常用于拇指或手部中部截肢。在掌指关节远端的手指部分截肢后，足趾移植的应用较少。然而，通过足趾移植可以显著改善手指部分截肢后手的功能和美观。重建手指的长度是手术规划中最重要的方面，它会影响手术技术以及功能和美学效果。应保持移植足趾基部的平滑连接。这可以通过适当的软组织减少和排除跖趾关节来实现。建议进行皮下静脉、足底以及背侧动脉血管系统的吻合。
