A Systematic Review of Outcomes of Toe-to-Thumb Transfers for Isolated Traumatic Thumb Amputation

Lin, Pao Yuan; Sebastin, Sandeep J.; Ono, Shimpei; Bellfi, Lillian T.; Chang, Kai-Ting; Chung, Kevin C.

doi:10.1007/s11552-011-9340-x

Cited by 44 publications

(21 citation statements)

References 55 publications

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“…Lateral pinch was found to be 9.81N, jaw pinch was 8.82N, and grip was 19.61N [14]. Pinch strength in adults was also been found to be 50% of contralateral side with a toe to thumb transfer (Lin etal, 2011) [15]. Schenker etal evaluated the precision grip function in children with toe transfer for hypoplastic digits and with those children with intact CMC joints and presumed intact intrinsic muscle function had equal to or greater than the contralateral side [16].…”

Section: Discussionmentioning

confidence: 96%

Microvascular “on-top-plasty”: An Alternative for Thumb Reconstruction in Constriction Band Syndrome

Panattoni

Ebersole

Cavadas³

2018

International Journal of Orthoplastic Surgery

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Constriction band syndrome affecting the hand and importantly the thumb may require reconstruction to improve function. This case report presents a patient with auto-amputation through the proximal phalanx of the middle, index, and thumb. Microvascular reconstruction was used to perform an on-top-plasty with the remaining index finger to the thumb. The case also involved skin graft coverage, venous grafting, and tendon reconstruction. The patient presents with 12 months follow up after index procedure and 3 months after revision. She has the ability to grasp large objects. Sensation remains present in pulp of new thumb. Cosmesis subjectively improved per patient's family and physician. Strength continued to improve and reached 2 Kg of grip strength by 12 months. Microvascular on-top-plasty is a possible option for improving function in constriction hand syndrome affecting multiple digits.

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Section: Discussionmentioning

confidence: 96%

Microvascular “on-top-plasty”: An Alternative for Thumb Reconstruction in Constriction Band Syndrome

Panattoni

Ebersole

Cavadas³

2018

International Journal of Orthoplastic Surgery

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“…Osteoplastic reconstruction of the thumb is indicated in amputation at or around metacarpophalangeal level in patients who cannot, or will not, have a toe transfer [5]. Any of the microsurgical reconstruction with second-toe transfer, great toe transfer, or wraparound technique will give much better result, both functionally and cosmetically [6]. However, in many situations, patients might be reluctant to sacrifice a toe for reconstruction of the thumb.…”

Section: Discussionmentioning

confidence: 99%

Osteoplastic Reconstruction for Post Traumatic Thumb Amputations Around Metacarpophalangeal Joint

Segu

Athavale

Manjunath

2015

JCDR

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“…17,19,20 This lack of confidence across hand surgeon groups is corroborated by the decreasing success rates of digit replantation over the last 20 years. 21–24 Today, despite recent microsurgical advancements, evidence suggests that in contrast to other developed countries, replantation success rates in the U.S. have fallen to approximately 60%, 25 Replantation remains uncommon in the U.S. compared with other developed countries. 26–29 For example, in 2001, 2004, and 2007 combined, only 27% of thumb and 12% of finger traumatic amputations were replanted.…”

Section: Commentmentioning

confidence: 99%

Racial Variation in Treatment of Traumatic Finger/Thumb Amputation

Mahmoudi

Swiatek

Chung

et al. 2016

Plastic and Reconstructive Surgery

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Background Traumatic finger/thumb amputations are some of the most prevalent traumatic injuries affecting Americans each year. Rates of replantation after traumatic finger/thumb amputation, however, have been steadily declining across U.S. hospitals, which may make these procedures less accessible to minorities and vulnerable populations. The specific aim of this study was to examine racial variation in finger replantation after traumatic finger/thumb amputation. Methods Using a two-level hierarchical model, we retrospectively compared replantation rates for African-American patients with those of Whites, adjusting for patient and hospital characteristics. Patients younger than 65 with traumatic finger/thumb amputation injuries who sought care at a U.S. trauma center between 2007 and 2012 were included in the study sample. Results We analyzed 13,129 patients under 65 years of age with traumatic finger/thumb amputation. Replantation rates declined over time from 19% to 14% (p = 0.004). Adjusting for patient and hospital characteristics, African-Americans (OR=0.81; CI: 0.66–0.99; p = 0.049) were less likely to undergo replantation procedures than Whites, and uninsured patients (OR=0.73; CI: 0.62–0.84; p < 0.0001) were less likely than those who were privately insured. Conclusions Despite advancements in microsurgical techniques and the increasing use of reconstructive surgery in other fields, finger/thumb replantation rates are declining in the U.S. and vulnerable populations are less likely to undergo replantation after amputation injuries. Regionalization of care for these injuries may not only provide a higher quality care but also reduce variations in treatment.

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A Systematic Review of Outcomes of Toe-to-Thumb Transfers for Isolated Traumatic Thumb Amputation

Cited by 44 publications

References 55 publications

Microvascular “on-top-plasty”: An Alternative for Thumb Reconstruction in Constriction Band Syndrome

Microvascular “on-top-plasty”: An Alternative for Thumb Reconstruction in Constriction Band Syndrome

Osteoplastic Reconstruction for Post Traumatic Thumb Amputations Around Metacarpophalangeal Joint

Racial Variation in Treatment of Traumatic Finger/Thumb Amputation

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