Cross Thumb Transfer

Reigstad, Astor; Hetland, Karl R.

doi:10.1016/0266-7681(93)90244-a

Cited by 8 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the reconstruction of hand after traumatic amputation, one should put reconstructing the thumb at top priority. The thumb accounts for the tripod pinch through opposition, and therefore, loss of thumb impairs hand function by 50% [2]. If the amputated thumb is not replantable, one should consider other options such as pollicization of the index finger, toe transfer, and deepen of the 1st web space.…”

Section: Discussionmentioning

confidence: 99%

“…In traumatic amputations of upper extremities, replantation is commonly attempted with high success rates. However, successful replantation not only implies the survival of length but also must show good functional outcomes of the restored hand [1,2]. Hence, due to the dominant importance of thumb, accounting for 40% to 50% of hand function, the utmost priority is on the salvage of thumb.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Functional reconstruction of the thumb by heterotopic thumb-to-thumb replantation and secondary opponensplasty in bilateral amputation in the upper extremities: a case report

Lee

Koh

et al. 2022

Arch Hand Microsurg

View full text Add to dashboard Cite

In traumatic amputations in the upper extremities, replantation has been commonly attempted with high success rates. However, successful replantation implies both the maintenance of length and good functional outcomes of the restored hand. Since the thumb accounts for 40% to 50% of hand function, the utmost priority is on the salvage of the thumb. In cases when replantation is not feasible, various efforts have been made to replace the thumb, including pollicization of the index finger, toe transfer, lengthening of the thumb stump, and deepening of the first web space. Alternatively, heterotopic thumb-to-thumb replantation has been suggested as a rescue plan in rare circumstances of bilateral amputation in the upper extremities. However, even if heterotopic replantation is successful, there are situations in which a severe crushing injury to the thenar muscles of the recipient’s thumb causes opposition failure of the reconstructed thumb. We report a case of functional reconstruction of the thumb in a rare case of bilateral mangling amputations in the upper extremities, by a heterotopic thumb-to-thumb replantation combined with secondary opponensplasty to compensate for the opposition failure.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Functional reconstruction of the thumb by heterotopic thumb-to-thumb replantation and secondary opponensplasty in bilateral amputation in the upper extremities: a case report

Lee

Koh

et al. 2022

Arch Hand Microsurg

View full text Add to dashboard Cite

show abstract

“…Allerdings handelt es sich in den meisten Fäl-len um Notfallsituationen mit Amputationsverletzungen, bei denen der Über-sichtlichkeit halber weiter von Replantationen gesprochen werden sollte. Nur selten wird über elektive heterotope Transplantationen berichtet [14,22,24].…”

Section: Diskussionunclassified

Heterotope Replantationen

Druecke

Homann

Kutscha-Lissberg

et al. 2007

Chirurg

View full text Add to dashboard Cite

Clinical conditions in which crossover extremity transfer should be considered are rare. In the case of bilateral amputation associated with extensive proximal segmental injury, ectopic implantation could be an additional concept for two-stage limb salvage. If replantation is impossible due to segmental damage of the amputated part, at least uninvolved tissue should be harvested for stump lengthening or improving soft-tissue at the ends. The case of a 34-year-old man with segmental amputation of the left forearm and left lower leg and mutilated amputation of the right hand caused by a train accident is presented. Limb salvage was performed by cross-hand replantation and modified rotationplasty of the left foot as a stump lengthening procedure.

show abstract

“…Since then, 23 more have been performed worldwide (Table 1). Hand transplantations have aroused public interest and started debates in the hand surgery community (Siegler 1998, Foucher 1999, Lee and Mathes 1999, Lee 2002, Lundborg 1999, Herndon 2000, Altman 2001, Manske 2001, Cooney and Hentz 2002, Jones 2002, Lubbe 2003, Reigstad and Hetland 2003. The transplantations may either be described as a breakthrough in reconstructive surgery or as "technology over good sense" (Strickland 1999) due to the need for longterm immunosuppression for a non-life threatening condition.…”

mentioning

confidence: 99%