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Updated: Aug 16, 2026
Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
[Bilateral three-toe transplantation with dorsalis pedis flap and first web space flap for damage injury in the
Chengchen Feng1, Maowen Liu, Peng Feng
1Jinan Military Command Region, 404th Hospital of PLA, Jinan Shandong, 264200, P. R. China.
Objective:
To discuss the surgical method and effect of repair of damage injury in the hands.
Methods:
Of the 29 cases, 22 were males, 7 were females. Their ages ranged from 15 to 31. The size of defect areas ranged from 18 cm x 8 cm to 22 cm x 10 cm. Along with dorsalis pedis flap, lateral hemi-pulp flap was taken from great toe and first web space flap. The second toe was taken from one foot to reconstruct the thumb, second and third toe from another foot was used to reconstruct two fingers. The dorsalis pedis flaps were used to cover palm and dorsum of hand. The lateral hemi-pulp flaps from great toe and first web space flaps were used to reconstruct first web space of hand. RESULTS With the 58 combined flaps, 29 thumbs and 58 fingers were reconstructed. Follow-ups was done for 1 to 8 years. All the thumbs and fingers of 29 hands were reconstructed. Their shape and function were well recovered.
Conclusion:
This new surgical method is effective in preserving the function of injured hand. The function of the injured hands can be preserved by this surgical method, therefore this method is optimal.
