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Related Experiment Videos

Toe transfer in congenital hand malformations.

G Foucher, J Medina, R Navarro

    Journal of Reconstructive Microsurgery
    |April 24, 2001
    PubMed
    Summary

    Toe-to-hand transfers effectively restore function in congenital hand abnormalities, particularly symbrachydactyly. Ensuring adequate arterial supply is crucial for successful outcomes, leading to improved daily activities.

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    Area of Science:

    • Reconstructive surgery
    • Pediatric orthopedics
    • Microsurgery

    Background:

    • Congenital hand abnormalities significantly impact function and quality of life.
    • Toe-to-hand transfer is a reconstructive option for these conditions.

    Purpose of the Study:

    • To evaluate the outcomes of toe-to-hand transfers in patients with congenital hand abnormalities.
    • To identify factors influencing the success of these reconstructive procedures.

    Main Methods:

    • Retrospective review of 65 toe-to-hand transfers in 58 patients with congenital hand abnormalities.
    • Analysis of surgical technique, indications, complications, and functional outcomes.
    • Follow-up assessment of range of motion, sensory discrimination, and functional use.

    Main Results:

    • Symbrachydactyly was the most common indication (51 cases).
    • Two failures occurred with single artery anastomosis; no failures with multiple arteries.
    • Mean active range of motion was 38 degrees; mean two-point discrimination was 5 mm.
    • 41 patients reported good functional use in daily activities.

    Conclusions:

    • Toe-to-hand transfer is a viable option for congenital hand reconstruction, especially for symbrachydactyly.
    • Multiple arterial anastomoses are associated with higher success rates.
    • Early transfer, before established grip patterns, may enhance functional integration.

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