Double second toe transfer in congenital hand anomalies

Area of Science:

• Orthopedics
• Plastic Surgery
• Pediatric Surgery

Background:

• Congenital hand anomalies present significant functional and aesthetic challenges.
• Toe-to-hand transplantation is a reconstructive option for severe hand deformities.
• Restoring hand function and form in pediatric patients requires specialized surgical approaches.

Purpose of the Study:

• To evaluate the outcomes of staged double second toe transfers in patients with congenital hand anomalies.
• To assess the functional and aesthetic benefits of toe transfers for hand reconstruction.
• To identify challenges and necessary secondary procedures associated with this reconstructive technique.

Main Methods:

• Retrospective review of 14 patients undergoing staged double second toe transfers to the same hand.
• Analysis of different congenital hand anomalies including constriction ring syndrome, symbrachydactyly, and transverse absence.
• Assessment of transferred toe mobility, sensation, and overall patient benefit.

Main Results:

• All 14 patients received staged double second toe transfers for congenital hand anomalies.
• Transferred toes demonstrated mobility and sensation, contributing positively to function and appearance.
• Secondary surgical procedures were required in all patients, indicating the complexity of the reconstruction.

Conclusions:

• Staged double second toe transfers can effectively restore function and appearance in congenital hand anomalies.
• While beneficial, this procedure necessitates further surgical interventions.
• The technique shows promise for improving quality of life in affected pediatric patients.