Closure of the second toe transfer donor site without disruption of the deep transverse metatarsal ligament

Microsurgery ◽  
1994 ◽  
Vol 15 (11) ◽  
pp. 802-804 ◽  
Author(s):  
Howard R. Webster ◽  
Christopher J. Inglefield
Keyword(s):  
Donor Site ◽  
Toe Transfer ◽  
Second Toe

Gait Analysis of the Donor Foot in Microsurgical Reconstruction of the Thumb

1995 ◽  
Vol 16 (4) ◽  
pp. 201-206 ◽  
Author(s):  
Francesco Barca ◽  
Alessandro Santi ◽  
Pier Luigi Tartoni ◽  
Antonio Landi
Keyword(s):  
Donor Site ◽  
Hallux Rigidus ◽  
Metatarsal Bone ◽  
Wilcoxon Test ◽  
Great Toe ◽  
Microsurgical Reconstruction ◽  
The Third ◽  
Metatarsal Bones ◽  
Toe Transfer ◽  
Second Toe

Clinical and step evaluations by a piezoelectric system board were performed in 54 patients who underwent microsurgical reconstruction of the thumb by great or second toe transfer. Forty-four patients were male and 10 were female. In 13 cases, the thumb was reconstructed by the Morrison wrap-around technique. In 27 cases, an extended variant of the Morrison technique was used in which the whole distal phalanx was harvested with skin and nail apparatus. Four patients were treated by great toe transfer and 10 were treated by second toe transfer. Follow-up ranged from 2 to 144 months. The group of patients treated by the wrap-around technique presented hallux rigidus in 38.5% of cases. The group of patients treated by the extended variant of the Morrison technique presented a lesser tendency to hallux rigidus but a clear reduction of the pushing phase of hallux. The group of patients treated by second toe transfer presented a third and fourth metatarsal bone overload that was confirmed by a statistical Wilcoxon test: overload was linked to a plantar hyperkeratosis at the third metatarsal (20%), fourth metatarsal (10%), or fifth metatarsal bone (20%). A claw deformity of the third and fourth toes was observed in 20% of these patients. The four patients who underwent microsurgical reconstruction of the thumb by great toe transfer exhibited an overload of central and lateral metatarsal bones. Second toe transfer is not associated with the functional or cosmetic changes seen in great toe transfer and is therefore preferred. The cosmetic and functional results from extended great toe transfer make this a much less desirable transfer than the wrap-around or modified wrap-around technique. The transfer with the least donor site problem is second toe to thumb.

scholarly journals The Utility of the Knotless Suture Fixation for Bilateral Second Toe Transplantation in Traumatic Multiple-Digit Amputation

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Yasuhiro Yamamoto ◽  
Satoshi Ichihara ◽  
Akira Hara ◽  
Toshiya Kudo ◽  
Yuichiro Maruyama ◽  
...  
Keyword(s):  
Donor Site ◽  
Limited Range ◽  
Reconstruction Method ◽  
Suture Fixation ◽  
Limited Range Of Motion ◽  
Good Cosmetic ◽  
Cosmetic Outcomes ◽  
Toe Transfer ◽  
Second Toe ◽  
Fixation System

Toe-to-hand transfer is a useful reconstruction method after finger amputation. We report a case of multiple-digit amputation, reconstructed with bilateral second-toe transfer. In this study, we used a knotless suture fixation system (ZipTight™; Arthrex Inc., FL, USA) which effectively closed the wound and reduce the amount of dead space. Both second-toe transplantations survived. The feet were asymptomatic with good cosmetic outcomes. Although the reconstructed digits had limited range of motion, the patient was able to return to work. Knotless suture fixation system may be one of the effective methods for closing the donor site wound in second-toe transplantations.

Paediatric toe-to-hand transfer: an assessment of outcomes from a single unit

2015 ◽  
Vol 41 (3) ◽  
pp. 281-294 ◽  
Author(s):  
D. Nikkhah ◽  
N. Martin ◽  
M. Pickford
Keyword(s):  
Range Of Motion ◽  
Hand Function ◽  
Donor Site ◽  
Level Of Evidence ◽  
Reliable Technique ◽  
Special Review ◽  
Active Range Of Motion ◽  
The Mean ◽  
Toe Transfer ◽  
Second Toe

Toe-to-hand transfer is an acceptable treatment option for children born with absent digits. Toe transfer can provide functionally useful digits and may enhance patient wellbeing. A total of 19 children had 31 free second-toe-to-hand microsurgical transfers between 1998 and 2012. The mean age of these children at the time of the first operation was 45 months. All transferred toes survived. The donor site was satisfactory in all 19 patients. Twelve children (19 toes) attended a special review clinic; all children could grasp large objects (Duplo bricks) after toe transfer. The total passive range of motion was greater than total active range of motion by an average of 54 degrees. Static 2-point discrimination was generally excellent (mean = 5 mm). Eleven out of 12 children strongly agreed that their toe transfer had improved hand function. Microsurgical toe-to-hand transfer is a safe and reliable technique that can provide useful function for children with congenital differences. Our series compares favourably with the published literature. Level of evidence: IV

Reconstruction of Fingertip Amputations by Partial Composite Toe Transfer with Short Vascular Pedicle

1998 ◽  
Vol 23 (4) ◽  
pp. 457-464 ◽  
Author(s):  
G. DAUTEL ◽  
D. CORCELLA ◽  
M. MERLE
Keyword(s):  
Nail Plate ◽  
Surgical Reconstruction ◽  
Vascular Pedicle ◽  
Recipient Site ◽  
Fingertip Amputation ◽  
Custom Made ◽  
Initial Injury ◽  
Toe Transfer ◽  
Second Toe ◽  
Exact Amount

Five patients under 15 years-of-age, with a fingertip amputation through the nail plate, were treated with a custom-made partial toe transfer. Two of the patients hid had previous attempts at surgical reconstruction using either a local flap or replantation. Delay between initial injury and reconstruction ranged from 2 to 60 days. In all cases the flap was harvested from the second toe. This “custom-made” compound transfer included the exact amount of pulp, nail bed and bone required for reconstruction. All flaps were harvested on a short vascular pedicle, with anastomoses performed at a digital level on the recipient site. Good to excellent cosmetic results were obtained in all cases, with a nearly normal-looking fingertip. Duration of hospital stay ranged from 4 to 7 days. We recommend this technique for treatment of distal amputation close to the proximal nail fold, in young individuals.

scholarly journals Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction

2016 ◽  
Vol 43 (1) ◽  
pp. 66-70 ◽  
Author(s):  
Hyung Su Kim ◽  
Dong Chul Lee ◽  
Jin Soo Kim ◽  
Si Young Roh ◽  
Kyung Jin Lee ◽  
...  
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Fingertip Reconstruction ◽  
Second Toe

Thumb Reconstruction using Second—Toe Transfer

HAND ◽  
1983 ◽  
Vol os-15 (1) ◽  
pp. 15-21 ◽  
Author(s):  
P. C. Leung
Keyword(s):  
Thumb Reconstruction ◽  
Toe Transfer ◽  
Second Toe

scholarly journals Bilateral microvascular second toe transfer for bilateral post-traumatic thumb amputation

2012 ◽  
Vol 45 (01) ◽  
pp. 154-157 ◽  
Author(s):  
Rajendra Nehete ◽  
Anita Nehete ◽  
Sandeep Singla ◽  
Harshad Adhav
Keyword(s):  
Functional Impairment ◽  
Thumb Amputation ◽  
Aesthetic Results ◽  
Post Traumatic ◽  
Technical Details ◽  
Toe Transfer ◽  
Second Toe

ABSTRACTIn bilateral thumb amputations, the functional impairment is serious and every attempt should be made to reconstruct the thumb. We report a case of bilateral post traumatic thumb amputation, reconstructed with bilateral second toe transfer. Only two such cases have been reported in literature so far. Though there are various modalities for the reconstruction of thumb, microvascular toe transfer has its own merits. The convalescent period is minimal with excellent function. It is bilaterally symmetric and aesthetically superior to the osteoplastic reconstruction. The technical details are discussed, and the long term functional and aesthetic results are presented.

Functional Donor Site Morbidity Following Vascularized Toe Transfer Procedures

2014 ◽  
Vol 134 ◽  
pp. 37
Author(s):  
Michael Sosin ◽  
Yu-Te Lin ◽  
John Steinberg ◽  
Noah Oliver ◽  
Ketan M. Patel
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Transfer Procedures ◽  
Toe Transfer

Functional Evaluation of a Great Toe Transfer and the Osteoplastic Technique for Thumb Reconstruction in the Same Individual

2003 ◽  
Vol 28 (5) ◽  
pp. 405-408 ◽  
Author(s):  
S. R. SABAPATHY ◽  
H. VENKATRAMANI ◽  
R. R. BHARATHI
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Functional Evaluation ◽  
Great Toe ◽  
Thumb Reconstruction ◽  
Microsurgical Reconstruction ◽  
Functional Activities ◽  
Reconstructive Option ◽  
Toe Transfer

Since the popularization of microvascular toe transfer, there has been a tendency to relegate osteoplastic reconstruction techniques for the thumb to history. A case is presented which shows that a successful and well-planned osteoplastic thumb reconstruction can match microsurgical reconstruction in all functional activities. Cosmetically, the toe transfer is the better reconstructive option but it may cause significant donor site morbidity.

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