V originále
In the period 19872002, 147 toe-to-hand transfers were performed in 111 patients. Traumatic amputation was reconstructed by transfer of 131 toes in 101 patients; congenital anomaly was treated in 10 patients by transplantation of 16 toes. In this study, 60 reconstructed hands were evaluated in 59 patients. Patients were divided into 12 groups according to the type of reconstruction. Group A includes patients with thumb reconstruction using the great toe, wrap-around flap, or second toe transfer. Group B involves patients with thumb and second finger reconstruction; group C comprises cases of second and third finger reconstruction. Group D involves patients with claw hand type of reconstruction, group E includes patients with metacarpal hand reconstruction, and finally group F comprises cases with congenital anomalies. Post-transfer total range of motion and sensitivity were measured on transplanted toes. Functional ability was evaluated by the performance of 20 selected activities of daily life. Successful rate of transfer was 94.6% in post-traumatic transplantation and 100% in congenital anomalies reconstruction. The average total range of motion and two-point discrimination sensitivity was 53 and 11 mm, respectively.
Česky
V letech 1987- 2002 bylo na naší klinice operováno 111 pacient, u kterých byl proveden penos prstce z nohy na ruku. Pro traumatickou amputaci bylo operováno 101 pacient, pro kongenitální anomálii 10 pacient. V naší studii bylo vyšeteno 59 pacient. U pacient jsme mily rozsah pohybu, citlivost penesených prstc. Úchopová schopnost byla hodnocena zvládnutím 20 inností bžného života. Úspšnost penosu byla 94.6% ve skupin traumatických amputací a 100% ve skupin kongenitálních anomálií. Celkový rozsah pohybu penesených prstc byl 53, diskriminaní ití na dist. lánku peneseného prstce bylo 11 mm.