Bilateral second toe transfers to reconstruct radial longitudinal deficiency: a case report

Ozols, Dzintars; Zariņš, Jānis; Pētersons, Aigars

doi:10.1177/1753193418773030

Cited by 8 publications

(12 citation statements)

References 4 publications

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“…Functionality is provided by healthy second to fifth fingers, but in RLD patients, the second, third, and even fourth fingers often have contractions and movement limitations. Consequently, a second-toe transplant with an MTP joint arthrodesis method can offer better functional results [7].…”

Section: Discussionmentioning

confidence: 99%

“…Functional outcome results published by the authors showed similar functional results to pollicization functional outcomes, but aesthetical results were evaluated higher as five-digit hand is aesthetical more acceptable [8]. Second-toe-to-hand with MTP joint arthrodesis transplantation technique was successfully used to reconstruct grade IIIb thumb hypoplasia for a radial longitudinal deficiency ( RLD) grade IV (Bayne and Klug classification [40,41]) patient with possible pinch and grasp movements [7].…”

Section: Methodsmentioning

confidence: 99%

“…MTP joint arthrodesis provides a stable and appropriate length of the metacarpal bone for the newly constructed thumb. As the child grows, the carpometacarpal ( CMC) joint is developed and, therefore, no additional ligament reconstruction is performed [7,8]. The operation and postoperative periods as well as the preliminary functional results are evaluated and justify the effectiveness of this method and the continuation of its application.…”

Section: Introductionmentioning

confidence: 99%

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Methods for Congenital Thumb Hypoplasia Reconstruction. A Review of the Outcomes for Ten Years of Surgical Treatment

2019

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Background and objectives: Congenital thumb hypoplasia is a rare deformity of upper extremity. The incidence for thumb hypoplasia grade II–V is 1:10,000 newborns per year in Latvia. A technique for extensor indicis proprius (EIP) tendon transfer with subperiosteal fixation was developed and used for thumb hypoplasia grades II and IIIa. Pollicization or second-toe-to-hand transplantation with metatarsophalangeal (MTP) joint arthrodesis was used for the reconstruction of hypoplasia grade IIIb–V. The aim of this retrospective cohort study is to evaluate the outcomes for reconstruction techniques used in one surgical center during a ten-year period by one surgeon to evaluate functional and aesthetical outcomes for new techniques. Materials and Methods: In total, 21 patients were operated on during 2007–2017, and 18 of these patients were involved in this study. Long-term follow-up was completed to evaluate the functions and aesthetics of the hands. Results: disabilities of the arm, shoulder and hand (DASH) was 9.35 (8–10.7) for the second-toe-to-hand with MTP joint arthrodesis transplantation method for pollicization method 19.8 (6–26.7), and for the EIP tendon transposition, 14.54 (0.9–56.3). Conclusions: The postoperative functional parameters of congenital hand hypoplasia patients, regardless of the surgical method, are worse than the functional results of healthy patients. The use of the second-toe-to-hand with MTP joint arthrodesis transplantation method provides patients with congenital hand IIIb–V hypoplasia a stable and functional first finger formation. The functional results are comparable to the clinical results of the pollicization method while ensuring the creation of a five-digit hand.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Methods for Congenital Thumb Hypoplasia Reconstruction. A Review of the Outcomes for Ten Years of Surgical Treatment

2019

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“…Metode ļauj saglabāt piecu pirkstu plaukstu un nodrošina labu pirmā pirksta funkcionālo un estētisko izskatu. [75,76] Iedzimtas pirmā pirksta hipoplāzijas II un IIIa pakāpes rekonstrukcijā tiek pielietota plaukstas otrā pirksta atliecējcīpslas pārvietošanas operācija. EIP cīpslas transpozīcijas metode tika izveidota 2007. gadā.…”

Section: Anotācijaunclassified

“…The technique allows to maintain five-digit hand and provides good functionality ad aesthetics. [75,76] For thumb hypoplasia stage II -IIIa reconstruction second digit's tendon transposition is used. The EIP tendon transposition technique was created in…”

Section: Annotationmentioning

confidence: 99%

Kompleksa pēcoperācijas rezultātu izvērtēšana bērniem ar iedzimtu plaukstas pirmā pirksta hipoplāziju jaunas ķirurģiskas plaukstas rekonstrukcijas metodes pamatojumam. Promocijas darbs

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Unique Techniques or Approaches in Microvascular and Microlymphatic Surgery

Tang

Landín

Cavadas³

et al. 2020

Clinics in Plastic Surgery

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Bilateral second toe transfers to reconstruct radial longitudinal deficiency: a case report

Cited by 8 publications

References 4 publications

Methods for Congenital Thumb Hypoplasia Reconstruction. A Review of the Outcomes for Ten Years of Surgical Treatment

Methods for Congenital Thumb Hypoplasia Reconstruction. A Review of the Outcomes for Ten Years of Surgical Treatment

Kompleksa pēcoperācijas rezultātu izvērtēšana bērniem ar iedzimtu plaukstas pirmā pirksta hipoplāziju jaunas ķirurģiskas plaukstas rekonstrukcijas metodes pamatojumam. Promocijas darbs

Unique Techniques or Approaches in Microvascular and Microlymphatic Surgery

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