足趾移植再造拇,手指400例报告

总结１９６６年２月至１９９４年２月的足趾移植术４００例，以正确评估足趾移植在拇、手指再造中的作用。

Thumb and finger reconstruction by toe transplantation:a report of 400 cases

cases of toe transplantation from Feb. 1966 to Feb. 1994 were analyzed to evaluate the value of toe transplantation in thumb and finger reconstruction. The methods included: single second toe transplantation (with or without metatarsophalangeal joint ) in 299 cases, second and third toe transplantation in 28 cases. second toe and third proximal phalanx transplantation in 1 case, second toe with various flap transfer in 66 cases, hallux nail flap with second toe or second and third toe transplan tation in 6 cases. 386 cases survived and 14 cases failed. The survival rate was 96. 5 %. 240 cases were followed up for more than 2 years. The excellent rate of the motor and sensory function of reconstructed finger or thumb was greater than 90%. The satisfactory rate of foot function reached 86 % to g1%.The surgical indications for each method, the prevention of vascular crisis, the points for improving function and the influences of foot function after toe transplantation were analyzed. The conclusions were: (1)Toe iran.splantation is a satisfactory method for thumb and finger reconstruction. (2 ) Single second toe resection with or without metatarsal head cioes not impair the function or biomechanics of the foot significantly. (3)The more tissues sacrificed in foot, the greater influence on the configuration,function and biomechanics of the foot.