Combined Second and Third Toe Transfer

Wei, Fu‐Chan; Colony, Lee H.; Chen, Hung-Chi; Chuang, Cheng Keng; Noordhoff, Samuel M.

doi:10.1097/00006534-198984040-00016

Cited by 79 publications

(25 citation statements)

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“…1 The evolution of digital reconstruction with toe transfer has enabled surgeons to reestablish the most important functions in these severely injured hands. 2 The second toe is an ideal option for single finger reconstruction but what is the best choice when we want to transfer three toes to ensure the tripod pinch function? In the literature, there are many reports about the use of the second toe for thumb reconstruction, and the combined second and third toe transfer for the other two fingers with good aesthetical and functional hand results.…”

mentioning

confidence: 99%

“…In contrast, reports concerning the possible adverse effects of the donor site are less frequent. [1][2][3][4] In long term follow-up donor-site cosmesis and possible functional disturbances play a major role in consideration of various toe transfer.We report a case of 46-year-old woman who sustained a severe crush injury to her dominant right hand. All the fingers were amputated at the metacarpal head.…”

mentioning

confidence: 99%

“…The limited use of this procedure may relate to functional and cosmetic concerns regarding both the donor and recipient sites. 2 Various donor-foot complications have been reported in this technique. Bone graft is used to restore metatarsal length and maintain the metatarsal arch to prevent this type of complications.…”

mentioning

confidence: 99%

“…Bone graft is used to restore metatarsal length and maintain the metatarsal arch to prevent this type of complications. 2 However, this imposes potential problems such as bone fracture, reabsorption, and swiveling of the pulp. 3 On the basis of this case and the experience of the senior author we propose as best solution of two adjacent missing digits can be accomplished with either two single-toe or combined second and fourth toe transfer reducing the complication of the donor site and the need for later surgical steps.…”

mentioning

confidence: 99%

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Donor site of toe transfer: IS combined second and third toe transfer the better choice? A 31 years of long-term follow-up

et al. 2014

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confidence: 99%

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Donor site of toe transfer: IS combined second and third toe transfer the better choice? A 31 years of long-term follow-up

et al. 2014

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“…[1][2][3][4] While survival of the transplanted digit is now more than 90% successful, technical refinements to improve appearance and enhance joint stability and range of motion have been reported, not only for single toe transplantation [5][6][7][8][9] but also for multiple toe transplantations. 10,11 Attention to the recovery of sensation in these transplantations has been one of the last areas to receive attention. 12,13 In 1986, the results of sensory recovery in transplanted toes was reviewed, 14 and it was suggested that the transplanted toes could achieve a level of sensibility that was better than that of the toe in its original location.…”

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confidence: 99%

Microneurosurgical Planning in Toe-to-Hand Transplantation: Axonal Population of Digital Nerves in the Fingers and Toes

Wei

Chien

Ma³

et al. 2012

J reconstr Microsurg

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Although toe-to-hand microvascular transplantation is now an accepted and successful reconstructive strategy for the thumb, there remains varying success in recovery of sensibility. The purpose of the present study was to provide an anatomic basis for analyzing neurotization of the great toe or the second toe with the digital nerves of the fingers and hand. Axon counts were obtained from donor and recipient nerves during reconstructive procedures. Sixty-seven upper- and eighty lower-extremity nerves were analyzed. No statistical difference was found between the mean number of axons between the thumb and the index finger; however, the thumb had significantly more (p < 0.001) axons than the middle or the ring finger. The great toe had significantly more axons than the second toe (p < 0.001). The common plantar digital nerve had significantly more axons than a digital nerve (p < 0.001). The thumb had significantly more axons than the great toe (p < 0.001). The thumb had significantly more axons than the second toe (p < 0.001). Numerical data are now available for strategic planning of toe transplantation, and direct neurotization from the dorsum of the hand to the digits.

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Functional and esthetic reconstruction of a mutilated hand using multiple toe transfers and iliac osteocutaneous flap: A case report

et al. 1993

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With reconstructive microsurgical techniques, some previously hopelessly mutilated hands have become reconstructable. The functional and esthetic results of such hands can be improved to an acceptable degree with through prereconstruction evaluation and planning. This case report demonstrates the approach to reconstruction of a mutilated hand using the following: a pedicle groin flap for soft tissue reconstruction of the first web space and the amputation stump of the thumb; a combined second and third toe transfer for reconstruction of opposable fingers at the amputated index and middle finger stumps; a single second toe for reconstruction of the thumb, and an iliac osteocutaneous flap for reconstruction of the ulnar border of the palm.

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Combined Second and Third Toe Transfer

Cited by 79 publications

References 0 publications

Donor site of toe transfer: IS combined second and third toe transfer the better choice? A 31 years of long-term follow-up

Donor site of toe transfer: IS combined second and third toe transfer the better choice? A 31 years of long-term follow-up

Microneurosurgical Planning in Toe-to-Hand Transplantation: Axonal Population of Digital Nerves in the Fingers and Toes

Functional and esthetic reconstruction of a mutilated hand using multiple toe transfers and iliac osteocutaneous flap: A case report

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