Wei F C, Chen H C, Chuang C C, Chen S H
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
Plast Reconstr Surg. 1994 Feb;93(2):345-51; discussion 352-7. doi: 10.1097/00006534-199402000-00020.
Microsurgical toe transfer is an established method for reconstruction of missing thumbs. However, there is little agreement on which of the various techniques represents the ideal transfer. Basically, selection of technique requires balancing the patient's functional needs, appearance of the reconstructed thumb, and donor-site cosmesis. Based on our experience with 103 toe-to-thumb transfers performed over the past 9 years, this paper attempts to provide guidelines for appropriate selection among the four most commonly employed toe transfer techniques (e.g., second toe, total great toe, great toe wrap-around, trimmed great toe) so that optimal results and patient's acceptance can both be achieved.
显微外科脚趾移植是一种成熟的拇指缺失重建方法。然而，对于各种技术中哪一种代表理想的移植方法，人们的意见很少一致。基本上，技术的选择需要平衡患者的功能需求、重建拇指的外观以及供区美观度。基于我们在过去9年中进行的103例脚趾-拇指移植经验，本文试图为四种最常用的脚趾移植技术（如第二趾、整个拇趾、拇趾甲瓣、修剪后的拇趾）中进行适当选择提供指导方针，以便既能获得最佳效果，又能让患者接受。
