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Updated: Sep 26, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
Free hand-to-toe transfer: a method to minimise donor-site morbidity in free joint transfers
M Schenker1, S P Kelley, S P J Kay
1Department of Plastic, Reconstructive and Hand Surgery, St James's University Hospital, Leeds, UK.
Abstract:
Reconstruction of a congenital hand anomaly in a child using single free vascularised transfer of the proximal interphalangeal joint of a second toe with the simultaneous microvascular reconstruction of the donor toe using the stiff joint and its dorsal skin paddle from the hand is described. This is not the first reported case of a toe-finger switch, but it is the first in a free joint transfer, for which it is especially indicated.

