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.

Toe-to-Hand Transfers: More Than 20 Years Follow-Up of Five Post-Traumatic Cases

2006 ◽  
Vol 31 (1) ◽  
pp. 2-8 ◽  
Author(s):  
A. GÜLGÖNEN ◽  
E. GUDEMEZ
Keyword(s):  
Hand Function ◽  
Long Term Follow Up ◽  
Post Traumatic ◽  
Toe Transfer ◽  
Finger Reconstruction ◽  
Second Toe

In post-traumatic losses of the thumb and fingers, reconstruction can be performed with success using various combinations of toe transfers. In this study, we have presented second toe and combined toe transfers which have been followed up for more than 20 years. Second toe transfer was used in four patients for reconstruction of the thumb. Combined second and third toe transfer was performed in two patients with a metacarpal hand for finger reconstruction. Long-term follow-up results show that patients with toe-to-hand transfers have acceptable adaptation to the reconstructed hand and good hand function. Toe transfer should be individually planned and carefully executed to obtain optimal results and minimal disability in the donor foot.

scholarly journals Cosmetic and Functional Results of a Newly Reconstructed Thumb by Combining the Phalange of Second Toe and the Great Toenail Flap Transplantation

2020 ◽  
Author(s):  
Yefeng Yin ◽  
Xiaomei Tao ◽  
Yanzhao Li ◽  
Buhe Bao ◽  
Ying Ying ◽  
...  
Keyword(s):  
Metatarsophalangeal Joint ◽  
Functional Results ◽  
Great Toe ◽  
Thumb Reconstruction ◽  
Aesthetic Result ◽  
Aesthetic Results ◽  
Distal Interphalangeal ◽  
The Common ◽  
Toe Transfer ◽  
Second Toe

Abstract 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 aesthetics. Great toe transplantation achieves better aesthetics, 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 aesthetic 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 phalange transplantation. Each of the patients’ thumbs had different levels of amputation at the metatarsophalangeal joint (MPJ) or distal interphalangeal joint (DIPJ). RESULTS 1 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 aesthetic results of both the donor and the recipient sites were satisfactory.CONCLUSIONS Compared to the great toe or second toe transfer, combined free transfer of the great toenail flap and 2nd toe phalange achieved a substantially better functional and aesthetic result in the thumb reconstruction.

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

Injury ◽  
2013 ◽  
Vol 44 (3) ◽  
pp. 370-375 ◽  
Author(s):  
S. Raja Sabapathy ◽  
Hari Venkatramani ◽  
Praveen Bhardwaj
Keyword(s):  
Carpometacarpal Joint ◽  
Joint Level ◽  
Groin Flap ◽  
Thumb Amputation ◽  
Toe Transfer ◽  
Second Toe

Combined Pollicization and Toe Transfer for Thumb Reconstruction

2003 ◽  
Vol 28 (5) ◽  
pp. 414-416 ◽  
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.

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

2020 ◽  
Author(s):  
Yefeng Yin ◽  
Xiaomei Tao ◽  
Yanzhao Li ◽  
Buhe Bao ◽  
Ying Ying ◽  
...  
Keyword(s):  
Metatarsophalangeal Joint ◽  
Functional Results ◽  
Great Toe ◽  
Thumb Reconstruction ◽  
Aesthetic Result ◽  
Aesthetic Results ◽  
Distal Interphalangeal ◽  
The Common ◽  
Toe Transfer ◽  
Second Toe

Abstract 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 aesthetics. Great toe transplantation achieves better aesthetics, 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 aesthetic 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 1 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 aesthetic 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 2nd 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 2nd toe phalanx achieved a substantially better functional and aesthetic result in the thumb reconstruction.

Sign in / Sign up

Export Citation Format

Share Document