Related Experiment Videos
The donor foot in free toe or joint transfers
1Institute of Hand Surgery, Huashan Hospital, Shanghai Medical University, China. xb_y@yahoo.com
Journal of Hand Surgery (Edinburgh, Scotland)
|November 1, 2000
Summary
Free toe transfers for reconstruction show high functional recovery in donor feet, with most wounds healing quickly. While minor issues like numbness can occur, patients generally return to normal work and activities.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Podiatric Medicine
Background:
- Toe transfers are utilized in reconstructive surgery to restore function and form.
- The second toe and metatarsophalangeal joint are common donor sites.
Purpose of the Study:
- To evaluate the functional outcomes and donor site morbidity following free second toe, multiple toe, or second metatarsophalangeal joint transfers.
- To assess long-term results and patient satisfaction after these reconstructive procedures.
Main Methods:
- A retrospective case review of 84 patients who underwent free toe transfers.
- Follow-up assessments to evaluate donor foot function, wound healing, and long-term complications.
Main Results:
- Complete functional recovery of the donor foot was achieved in 89% of patients within 6 months.
- Donor foot wound healing occurred within 2-3 weeks in 90% of cases.
- Minor complications like numbness, cold intolerance, and mild reduction in push-off were infrequent and generally insignificant. Multiple toe transfers presented more donor site issues.
Conclusions:
- Free second toe and metatarsophalangeal joint transfers are effective reconstructive options with excellent donor foot recovery.
- While generally safe, potential donor site issues, particularly with multiple toe transfers, should be considered.
- Patients typically regain the ability to work and perform normal activities post-procedure.