A unique case of total foot-to-hand transfer in an infant with monodactyly

F K Hashem1, M M Al-Qattan

  • 1Division of Plastic Surgery, King Faisal Specialist Hospital, Riyadh, Saudi Arabia.

Insights

A novel foot-to-hand transfer, including the heel bone, was performed on an infant with a single finger. This unique pediatric surgery addressed congenital limb differences.

Area of Science:

  • Pediatric Microsurgery
  • Congenital Limb Reconstruction
  • Orthoplastic Surgery

Background:

  • Monodactyly, a rare congenital condition, presents unique challenges in reconstructive surgery.
  • Limb reconstruction in infants requires specialized techniques due to rapid growth and development.

Observation:

  • A case report details a total foot-to-hand transfer in an 8-month-old infant diagnosed with monodactyly.
  • The procedure involved the complete transfer of the foot, including the calcaneus (heel bone).

Findings:

  • The surgical team successfully executed a complex microsurgical foot-to-hand replantation.
  • This innovative approach aimed to restore function and form in a severely affected limb.

Implications:

  • This case highlights the feasibility of extensive limb transfers in very young patients.
  • Discusses critical technical considerations and the psychological impact on the infant and family.

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