Reconstruction of the thumb amputation at the carpometacarpal joint level by groin flap and second toe transfer

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.

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Second-Toe Transfer for Traumatic Thumb Amputation in Children Under 5 Years

Techniques in Hand and Upper Extremity Surgery ◽

10.1097/bth.0000000000000063 ◽

2014 ◽

Vol 18 (4) ◽

pp. 175-180 ◽

Cited By ~ 1

Author(s):

German Wolff ◽

Carolina Posso

Keyword(s):

Thumb Amputation ◽

Toe Transfer ◽

Second Toe ◽

Children Under 5

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Combined Pollicization and Toe Transfer for Thumb Reconstruction

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(02)00302-9 ◽

2003 ◽

Vol 28 (5) ◽

pp. 414-416 ◽

Cited By ~ 6

Author(s):

H. U. STEINAU ◽

M. LEHNHARDT ◽

H. H. HOMANN

Keyword(s):

Index Finger ◽

Orthopaedic Surgeon ◽

Thumb Reconstruction ◽

Severe Injuries ◽

Lawn Mower ◽

Thumb Amputation ◽

Toe Transfer ◽

Second Toe

A 45-year-old orthopaedic surgeon sustained a complete thumb amputation and severe injuries to his index finger in a lawn mower accident. He was treated with a combined second toe transfer and an index finger pollicization.

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Use of single-staged transmetatarsal trimmed great toe transfer for reconstruction of a thumb amputation at the carpometacarpal joint

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2020.10.071 ◽

2020 ◽

Author(s):

Van Doan Le ◽

Viet Tien Nguyen ◽

Viet Tan Nguyen

Keyword(s):

Great Toe ◽

Carpometacarpal Joint ◽

Thumb Amputation ◽

Toe Transfer

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

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(98)80122-8 ◽

1998 ◽

Vol 23 (4) ◽

pp. 457-464 ◽

Cited By ~ 21

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.

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