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LATE RECONSTRUCTION A severely mutilated hand should be dealt with by a hand expert. Certain options may be considered in exceptional cases. If all the fingers have been lost but the thumb is present, a new finger can sometimes be constructed with cortical bone, covered by a tubular flap of skin; an alternative is a neurovascular microsurgical transfer from the second toe. If the thumb has been lost, the options include pollicization (rotating a finger to oppose the other fingers), second toe transfer and osteoplastic reconstruction (a cortical bone graft surrounded by a skin flap). ---from 《Apley’s System of Orthopaedics and Fractures》 重点词汇整理： exceptional /ɪkˈsepʃənl/例外的 异常的 特殊的 pollicization 拇指化 百度翻译： 后期重建 严重残缺的手应该由手部专家来处理。在特殊情况下可以考虑某些选择。如果所有的手指都消失了，但拇指仍然存在，有时可以用皮质骨构建一个新的手指，用管状皮瓣覆盖；另一种方法是从第二个脚趾进行神经血管显微外科转移。如果拇指丢失，可选择的方法包括拇切除术（旋转一个手指与其他手指相对）、第二个脚趾移位和整骨重建（由皮瓣包围的皮质骨移植）。 |
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