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[Microsurgical 2nd toe transfer for catastrophic hand reconstruction].

A Placer1, Ja Lozano

  • 1Servicio de Cirugía Plástica, Reparadora y Estética, Hospital Virgen del Camino, Pamplona, Spain. ainhoaplacer@hotmail.com

Anales Del Sistema Sanitario De Navarra
|January 30, 2008
PubMed
Summary

Microsurgical toe-to-hand transfer successfully restored clamp function in a patient with a catastrophic hand injury. Comprehensive rehabilitation was crucial for optimal functional recovery after this complex reconstructive surgery.

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Area of Science:

  • Reconstructive Microsurgery
  • Hand Surgery
  • Orthopedic Surgery

Background:

  • Catastrophic hand injuries often necessitate complex reconstructive procedures.
  • Microsurgical toe-to-hand transfer is a viable option when other reconstructive methods fail to restore essential hand function.
  • Restoring clamp function is critical for overall hand utility.

Observation:

  • A 32-year-old male presented with a catastrophic left hand injury following a traffic accident.
  • Initial surgery salvaged viable structures, resulting in a hand with the 1st, 4th, and 5th fingers functional.
  • The clamp function between the remaining fingers was suboptimal, indicating a need for further reconstruction.

Findings:

  • A successful microsurgical transfer of the ipsilateral second toe was performed to reconstruct the third finger.

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  • Preoperative vascularization studies ensured flap viability for the toe-to-hand transfer.
  • The patient achieved satisfactory heavy and fine clamp function post-transfer and rehabilitation.
  • Implications:

    • Toe-to-hand transfer is an effective reconstructive strategy for severe hand injuries requiring restoration of digit function.
    • Microsurgical techniques enable the successful transplantation of digits to restore complex hand functions.
    • Patient rehabilitation plays a pivotal role in achieving functional recovery after complex hand reconstructions.