Finseth F, Krizek T J
Yale J Biol Med. 1977 Mar-Apr;50(2):199-206.
Congenital absence or traumatic amputation of the thumb is a major disability profoundly disturbing the function of the hand, as the thumb represents an estimated 50% of total hand function. The methods for thumb reconstruction utilizing the index finger were developed some twenty years ago, and progress has been made in the last several years with emphasis on intrinsic muscle reconstruction as emphasized by Buck-Gramcko. The method, technique and anatomy of index pollicization is discussed, and representative cases presented for congenital absence of the thumb and for traumatic amputation of the thumb.
先天性拇指缺如或外伤性拇指离断是一种严重的残疾，会极大地干扰手部功能，因为拇指约占手部总功能的50%。利用示指进行拇指再造的方法大约在二十年前就已开发出来，并且在过去几年中取得了进展，重点是如Buck-Gramcko所强调的内在肌重建。本文讨论了示指转位拇指再造的方法、技术和解剖结构，并展示了先天性拇指缺如和外伤性拇指离断的代表性病例。
