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Related Experiment Videos

Isolated third-toe transfer: indications, technique, and reliability.

Fu-Chan Wei1, O Koray Coskunfirat, Chih-Hung Lin

  • 1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical College, Chang Gung University, Taipei, Taiwan. fcw2007@adm.cgmh.org.tw

Plastic and Reconstructive Surgery
|April 6, 2005
PubMed
Summary
This summary is machine-generated.

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Isolated third-toe transfer is a safe and effective reconstructive technique, particularly for multiple-finger amputations. This method offers good functional and cosmetic outcomes with minimal donor-site morbidity.

Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Isolated third-toe transfer is a well-established and safe surgical procedure.
  • The study reviews 37 isolated third-toe transfers performed between 1984 and 2003.

Observation:

  • The study included 31 patients (24 male, 7 female) with an average age of 27.4 years.
  • One partial loss occurred among 37 transfers; 15 patients required secondary surgery for improved results.
  • No significant donor-site morbidity was observed during an average follow-up of 36 months.

Findings:

  • Third-toe transfer is absolutely indicated for restoring hand function in multiple-finger amputations or when second toes are unavailable.
  • Relative indications include additional reconstruction after basic hand function is achieved or for better size matching.

Related Experiment Videos

  • Second and third metatarsal arteries can serve as pedicles, with specific artery selection dependent on prior or planned second-toe transfers.

    • Implications:

    • Isolated third-toe transfer is a reliable option for complex hand reconstructions, especially in cases of multiple-finger amputations.
    • The technique provides functional restoration and cosmetic improvement with a low complication rate.
    • Understanding the indications and vascular supply optimizes outcomes for this versatile procedure.