scholarly journals Functional Restoration of a Midforearm Level Amputation using the Second Toe Transfer

2021 ◽  
Vol 54 (03) ◽  
pp. 367-369
Author(s):  
Mohit Sharma ◽  
K. S. Shravan Rai ◽  
G. Srilekha Reddy ◽  
Shruti Kongara
Keyword(s):  
Functional Restoration ◽  
Prosthetic Hand ◽  
Distal Forearm ◽  
Pronator Teres ◽  
Radial Side ◽  
Present Solution ◽  
Toe Transfer ◽  
Second Toe

AbstractUnilateral midforearm level amputation is a severely debilitating situation. The present solution for this problem is either restoration of function using a prosthetic hand, or a vascularized composite allotransplant (VCA) in some very selected cases. In cases of distal forearm level amputations, even vascularized second toe transfer could be done on the radial side of the hand to achieve good functional restoration. We present a case of midforearm level amputation in which the second toe transfer has been done above the level of insertion of pronator teres muscle to achieve meaningful function. This report highlights the fact that a single toe transfer could be helpful in achieving meaningful prehension, even at this proximal.

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.

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 restoration after early tendon transfer in high radial nerve paralysis

2010 ◽  
Vol 36 (2) ◽  
pp. 135-140 ◽  
Author(s):  
V. Dabas ◽  
T. Suri ◽  
P. K. Surapuraju ◽  
S. Sural ◽  
A. Dhal
Keyword(s):  
Radial Nerve ◽  
Tendon Transfer ◽  
Hand Function ◽  
Precision Grip ◽  
Functional Restoration ◽  
Nerve Paralysis ◽  
Power Grip ◽  
Pronator Teres ◽  
Junction Site ◽  
Extensor Carpi Radialis

We assessed the effect of an early transfer of pronator teres to extensor carpi radialis brevis on hand function in patients with high radial nerve paralysis. Power grip and precision grip were measured preoperatively and postoperatively using a dynamometer. Fifteen patients were operated on, of which ten could be assessed at the end of 6 months. At 6 months after surgery, there was a median increase of 48% in power grip, 162% in tip pinch, 90% in key pinch and 98% in palmar pinch. Decreased palmar flexion was seen in four patients. Fraying of the periosteal extension and rupture of sutures at the junction site were each seen in one patient, leading to unsatisfactory results. Early tendon transfer quickly restored efficient grip while awaiting reinnervation of wrist extensors, avoiding the need for prolonged external splintage.

Minimizing Impairment in Laborers with Finger Losses Distal to the Proximal Interphalangeal Joint by Second Toe Transfer

2003 ◽  
Vol 112 (4) ◽  
pp. 1000-1011 ◽  
Author(s):  
Francisco del Pi??al ◽  
Francisco Herrero ◽  
Francisco J. Garc??a-Bernal ◽  
Emilia Jado ◽  
Mar??a Jos?? Ros
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Toe Transfer ◽  
Second Toe

Reconstruction of the left thumb with a second toe transfer in a musician's hand

2013 ◽  
Vol 48 (6) ◽  
pp. 444-448 ◽  
Author(s):  
Serhan Tuncer ◽  
Billur Sezgin ◽  
Ismail Kucuker ◽  
Basar Kaya ◽  
Suhan Ayhan
Keyword(s):  
Left Thumb ◽  
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.

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