Toe Transfer in Congenital Hand Malformations

Foucher, G.; Medina, J. A.; Navarro, Ricardo Dizioli; Nagel, D.

doi:10.1055/s-2001-12682

Cited by 41 publications

(30 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The benefits of simultaneous double second toe transfers were emphasized. Foucher et al [11] performed 65 toe transfers in 58 children for category I (failure of formation), category V (undergrowth), and category VI (constriction ring syndrome) anomalies [33]. Symbrachydactyly was the most common diagnosis (45 children, 51 transfers) and much less frequently, transverse deficiency, IIIB thumb hypoplasia [22], ulnar deficiency, central deficiency, and macrodactyly.…”

Section: Discussionmentioning

confidence: 99%

Indications for Microsurgical Reconstruction of Congenital Hand Anomalies by Toe-To-Hand Transfers

Kaplan

2013

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background The indications for microsurgical toe-to-hand transfers in congenital hand surgery have not been defined as clearly as for posttraumatic reconstruction of thumb and finger amputations. The purpose of this study was to develop simple guidelines for referral of children with congenital absent digits for consideration of microsurgical reconstruction with toe-to-hand transfers, based on the morphological or radiographic anatomy of the hand anomaly, not on embryological classifications. Methods From a consecutive series of 204 children referred with congenital absence of the thumb and fingers, 100 toe-tohand transfers were performed. The indications for microsurgical reconstruction of these children were analyzed retrospectively. Results Forty-one thumbs were reconstructed in 38 children-15 children with an absent thumb distal to the metacarpal base but with four relatively normal fingers; 12 children with an absent thumb and only one or two digits remaining on the ulnar side of the hand; and 11 children with complete absence of all five digits. Twenty-nine second toes and 12 great toes were transferred to reconstruct congenital absent thumbs. Fifty-nine fingers in 52 children were reconstructed mostly with single second toe transfers-41 children with a thumb but absence of all four fingers and 11 children with absence of all five digits. Conclusions The morphological or radiographic anatomy of a child's hand with congenital absent digits is a more logical indication for microsurgical reconstruction than any embryological classification. The three most common indications for toe transfers for reconstruction of congenital absent thumbs are (1) absent thumb distal to the carpometacarpal joint with four relatively normal fingers, (2) absent thumb with only one or two fingers remaining on the ulnar border of the hand, and (3) complete absence of the thumb and all four fingers. The two indications for toe transfers for reconstruction of congenital absent fingers are (1) absence of all four fingers but with a normal thumb remaining and (2) complete absence of all five digits.

show abstract

Section: Discussionmentioning

confidence: 99%

Indications for Microsurgical Reconstruction of Congenital Hand Anomalies by Toe-To-Hand Transfers

Kaplan

2013

Hand (New York, N,Y.)

View full text Add to dashboard Cite

show abstract

“…Others have reinforced that there is a wide variation in the neurovascular structures in symbrachydactyly. 35,40,53 In 2001, Foucher 18 reported on 51 toe transfers in 45 patients with symbrachydactyly. Transfers to types IIIA and IIIB were the most common, followed by type IVA.…”

Section: Syndactyly and Web Contracturementioning

confidence: 99%

Symbrachydactyly

Goodell

Bauer

Sierra

et al. 2016

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background: Symbrachydactyly is a unilateral congenital hand malformation characterized by failure of formation of fingers and the presence of rudimentary digit nubbins. The management is variable and are investigated in this review. Methods: a detailed review of the literature was compiled into succinct clinically relevant categories. Results: Etiology, classification, non-surgical management, surgical intervention, and patient oriented outcomes are discussed. Conclusions: all interventions should prioritize realistic, evidence-supported appearance and functional gains. Studies of the baseline function and quality of life of children with symbrachydactyly would allow surgeons to better understand functional changes associated with various interventions and would help surgeons and parents to make the best treatment decisions.

show abstract

“…If isolated, the best option remains a second-toe transplantation as it gives excellent results [15,17], due to the presence of all anatomical elements without elements of hypoplasia. Another alternative when a proximal phalanx is present is progressive distraction lengthening [12,23].…”

Section: Discussionmentioning

confidence: 99%

Pollicization in Congenital Differences

Foucher

Medina²,

Loréa³

et al. 2004

Handchir Mikrochir plast Chir

View full text Add to dashboard Cite

Pollicization of the index finger is a well established procedure for some cases of thumb hypoplasia. We reviewed our experience of 27 "normal" index-finger pollicizations with a mean follow-up of seven years, excluding those cases with more extensive radial hypoplasia and abnormal fingers. Even in such an "ideal" situation, strength was deceptive and the frequently slender aspect of the new thumb with quite extensive dorsal scar formation and the "cleft" appearance of the first web disappointing. In a prospective series of 32 cases, we tried to improve both the function and appearance of the thumb by modifying the classical incision as well as the transferred muscles and tendons.

show abstract

Toe Transfer in Congenital Hand Malformations

Cited by 41 publications

References 15 publications

Indications for Microsurgical Reconstruction of Congenital Hand Anomalies by Toe-To-Hand Transfers

Indications for Microsurgical Reconstruction of Congenital Hand Anomalies by Toe-To-Hand Transfers

Symbrachydactyly

Pollicization in Congenital Differences

Contact Info

Product

Resources

About