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A unique case of total foot-to-hand transfer in an infant with monodactyly
1Division of Plastic Surgery, King Faisal Specialist Hospital, Riyadh, Saudi Arabia.
Journal of Hand Surgery (Edinburgh, Scotland)
|June 15, 2005
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.
Abstract:
A unique case of total foot-to-hand transfer, including the calcaneus, in an 8 month-old infant with monodactyly is described. Several technical and psychological aspects of the case are also discussed.

