Kay S P, Wiberg M
Department of Plastic Surgery, St James's University Hospital, Leeds, UK.
J Hand Surg Br. 1996 Dec;21(6):723-34. doi: 10.1016/s0266-7681(96)80176-8.
Between 1988 and 1994 40 children (age range 9 months-14 years) with either congenital (85%) or acquired hand deformities underwent reconstruction by microvascular autotransplantation of one or more toes. Fourteen underwent a single toe transfer whilst 26 had two second toes transferred to one hand. In 14 of these cases both second toes were transferred at one operation. Whether one or two toes were transferred, the children spent on average 9 days in hospital. None of the transfers failed but 75% of the children underwent staged additional surgery to improve appearance and function. Thirty-seven of the 40 children attended with their parents for follow-up examination by an independent surgeon, a physiotherapist and a clinical psychologist in order to evaluate the results and consequences of surgery. This paper presents the technical considerations for this surgery and examines the influence of the transfer on growth.
1988年至1994年间，40名儿童（年龄在9个月至14岁之间）因先天性（85%）或后天性手部畸形，接受了一个或多个脚趾的微血管自体移植重建手术。14名儿童接受了单个脚趾移植，26名儿童则将两个第二脚趾移植到一只手上。在其中14例手术中，两个第二脚趾在一次手术中同时移植。无论移植一个还是两个脚趾，儿童平均住院9天。所有移植均未失败，但75%的儿童接受了分期的额外手术以改善外观和功能。40名儿童中的37名与父母一同前来，由一名独立外科医生、一名物理治疗师和一名临床心理学家进行随访检查，以评估手术的结果和影响。本文介绍了该手术的技术要点，并探讨了移植对生长发育的影响。
