Die M.-abductor-digiti-minimi-Lappenplastik zur Defektdeckung im Handbereich

Stang, Felix; Siemers, Frank; Wild, T.; Weyers, Imke; Mailänder, P.; Stollwerck, Peter Leonard

doi:10.1007/s00064-012-0201-8

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…The free toe-to-thumb transfer is a milestone in the clinical application of microsurgery technique [ 1 , 2 ]. The skin and structure of the toe are very similar to the hand; thus, the functional restoration is an excellent technique that results in minimal morbidity at the donor site [ 3 ]. The great toe transfer is recognized as being able to achieve both esthetic appearance and good function in the reconstructed thumb, while the second toe transfer is thought to result in less donor site morbidity [ 4 ] .…”

Section: Introductionmentioning

confidence: 99%

Cosmetic and functional results of a newly reconstructed thumb by combining the phalanx of second toe and the great toenail flap transplantation

Yin

Tao

et al. 2020

J Orthop Surg Res

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Background Microsurgical toe-to-hand transfer is a gold standard when it comes to repairing a thumb defect. Great toenail flap, thumbnail valva flap, free great toe, and second toe transplantation are the common methods in thumb reconstruction. Second toe transplantation achieves good function, but poor esthetics. Great toe transplantation achieves better esthetics, but hindered walking, due to the foot’s loss of the great toe and moreover suboptimal thumb function. It is difficult to maintain both functional and esthetic satisfaction in thumb reconstruction. Methods We experimented with three different methods of toe to hand transfer. From October 2009 to July 2019, 30 patients with traumatic thumb defects received one of 3 different kinds of thumb reconstruction in our clinic according to their level of amputation. Divided evenly into three groups of ten, group one received a great toe transplantation, group two received a second toe transplantation, and group three received a combined great toenail flap and second toe phalanx transplantation. Each of the patients’ thumbs had different levels of amputation at the metatarsophalangeal joint (MPJ) or distal interphalangeal joint (DIPJ). Results One patient suffered from a partial flap necrosis and received a groin flap to cover the defect. No other thumbs had any complications. The functional and esthetic results of both the donor and the recipient sites were satisfactory. Results show that, for patients with traumatic thumb defects, the combined transfer of flap and second toe phalanx was the best option. Conclusions Compared to the great toe or second toe transfer, combined free transfer of the great toenail flap and second toe phalanx achieved a substantially better functional and esthetic result in the thumb reconstruction.

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