Free vascularized toe transplantation in reconstructive surgery of the hand [Die freie zehentransplantation in der rekonstruktiven handchirurgie]

被引：0

作者：

Van Schoonhoven J. ^{[1
,2
]}

Tränkle M. ^{[1
]}

Krimmer H. ^{[1
]}

Lanz U. ^{[1
]}

机构：

[1] Abteilung I, Klinik fur Handchirurgie

来源：

Der Orthopäde | 1998年 / 27卷 / 7期

关键词：

Finger amputation; Finger aplasia; Thumb amputation; Toe-to-hand-transplantation;

D O I：

10.1007/PL00003513

中图分类号：

学科分类号：

摘要：

Since the invention of microsurgical techniques the free toe-to-hand transplantation is an established method for reconstruction of hand function. The indication for this method following thumb and finger amputations as well as congenital defects with aplasia of the fingers and the thumb is discussed in comparison to alternative operations. The operative technique as well as the functional and aesthetic results that can be expected are described by presentation of clinical cases. Since 1992 we performed 18 free toe-to-hand transplantations for the above mentioned indications. Depending on the primary situation the elementary hand function with grip and pinch could be restored in all our patients using this method. Restoring sensibility next to length, mobility and strength in one operation has to be considered as an advantage compared to alternative methods.

引用

页码：422 / 432

页数：10

共 14 条

[1]

Blauth W., Gekeler J., Zur Morphologie und Klassifikation der Symbrachydaktylie, Handchirurgie, 3, pp. 123-128, (1971)

[2]

Buck-Gramcko U., Buck-Gramcko D., Die freie Zehentransplantation bei angeborenen Handfehlbildungen, Handchir Mikrochir Plast Chir, 27, pp. 181-188, (1995)

[3]

Buncke H.J., Buncke C.M., Schulz W.P., Immediate Nicoladoni procedure in the rhesus monkey, or hallux-to-hand transplantation, utilising miniature vascular anastomoses, Br J Plast Surg, 19, pp. 332-337, (1966)

[4]

Cobbett J.R., Free digital transfer: Report of a case of transfer of a great toe to replace an amputated thumb, J Bone Joint Surg Br, 51, pp. 677-679, (1969)

[5]

Frykman G.K., O'Brien B.Mc.C., Morrison W.A., MacLeod A.M., Ciurleo A., Functional evaluation of the hand and foot after onestage toe-to-hand transfer, J Hand Surg [Am], 11, pp. 9-17, (1986)

[6]

Foucher G., Binhammer P., Free vascularized toe transfer, Reconstructive Surgery in Hand Mutilation, pp. 57-65, (1997)

[7]

Gilbert A., Toe transfers for congenital hand defects, J Hand Surg, 7, pp. 118-124, (1982)

[8]

Gordon L., Toe-to-thumb transplantation, Operative Hand Surgery, pp. 1253-1282, (1993)

[9]

Lipton H.A., May J.W., Simon S.R., Preoperative and postoperative gait analyses of patients undergoing great toe-to-thumb transfer, J Hand Surg [Am], 12, pp. 66-69, (1987)

[10]

Lister G.D., Kalisman M., Tsai T.-M., Reconstruction of the hand with free microneurovascular toe-to-hand transfer: Experience with 54 toe transfers, Plast Reconstf Surg, 71, pp. 372-384, (1983)

← 1 2 →