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Second toe to index finger transfer.

B C Cho1, D H Lee, J W Park

  • 1Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital, Taegu.

British Journal of Plastic Surgery
|July 6, 2000
PubMed
Summary
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Toe-to-finger transfers for index finger reconstruction show decreasing success with more proximal defects. Early defects yield excellent results, while later ones are fair, impacting function and sensation.

Area of Science:

  • Orthopedic surgery
  • Microsurgery
  • Reconstructive surgery

Background:

  • Index finger amputations present significant functional and aesthetic challenges.
  • Toe-to-finger transfer is a reconstructive option for digital defects.

Purpose of the Study:

  • To evaluate the outcomes of second toe-to-index finger transfers based on defect classification.
  • To correlate defect location with functional and sensory recovery.

Main Methods:

  • Retrospective analysis of 15 index finger reconstructions using second toe grafts.
  • Classification of defects into three groups based on proximity to the distal interphalangeal joint.
  • Assessment of two-point discrimination, range of motion, and pinch strength.

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Main Results:

  • Two-point discrimination ranged from 2.0 to 2.3 mm across groups.
  • Pinch strength was highest in group 1 (83%) and lowest in group 3 (60%).
  • Functional outcomes were excellent in group 1, good in group 2, and fair in group 3.

Conclusions:

  • Second toe-to-index finger transfer is effective for index finger reconstruction.
  • Outcomes are inversely related to the proximal extent of the index finger defect.
  • Early-level defects achieve superior functional and sensory results.