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Fingertip reconstructions using partial-toe transfers.

I Koshima1, K Inagawa, K Urushibara

  • 1Department of Plastic and Reconstructive Surgery at Kawasaki Medical School, Kurashiki City, Okayama, Japan. plakos@med.kawasaki-m.ac.jp

Plastic and Reconstructive Surgery
|May 16, 2000
PubMed
Summary
This summary is machine-generated.

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Toe transfers effectively reconstruct fingertip deficits, offering good sensory recovery. Various toe parts, including trimmed tips and phalanges, provide viable options for restoring sensation and function.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Fingertip injuries present significant reconstructive challenges.
  • Toe-to-hand transfers are a valuable option for restoring fingertip defects.

Observation:

  • Fifty-six partial toe transfers were performed to address fingertip deficits.
  • Grafts included trimmed toe tips, vascularized nail grafts, osteo-onychocutaneous flaps, and distal phalanges.

Findings:

  • Postoperative sensory recovery varied by graft type, with Semmes-Weinstein scores averaging 3.1-3.6 and moving two-point discrimination averaging 6.3-7.9 mm.
  • Good to excellent sensory recovery was observed across different toe transfer techniques, with follow-up periods ranging from 10.6 months to 2.6 years.

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Implications:

  • Partial toe transfers are a successful reconstructive strategy for fingertip injuries.
  • These techniques restore sensation and improve functional outcomes for patients.