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Elective cross-hand transfer with thumb transposition: case report.

Pedro C Cavadas1, Javier Ibañez, Luis Landin

  • 1Reconstructive Surgery, Clínica Cavadas, Valencia, Spain. pcavadas@clinicacavadas.es

The Journal of Hand Surgery
|December 17, 2008
PubMed
Summary
This summary is machine-generated.

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Total Eyelid Reconstruction in the Anophthalmic Orbit Simplified: The Trilamellar Temporoparietal Fascia Flap.

Plastic and reconstructive surgery. Global open·2025

This study reports a successful cross-transfer of the right hand to a left forearm stump in an amputee with right-sided spasticity. The innovative procedure restored function and improved appearance, enabling patient independence.

Area of Science:

  • Hand surgery
  • Microsurgery
  • Reconstructive surgery

Background:

  • A patient with a long-standing left radial-carpal amputation experienced a stroke causing severe right-sided spasticity.
  • This created a unique challenge for restoring contralateral hand function and appearance.

Observation:

  • The patient underwent an elective cross-transfer of the right hand to the left distal forearm stump.
  • The thumb was transposed as a free flap for improved aesthetics.
  • Tendons were repaired, nerves connected for sensory reorientation, and a modified Sauvé-Kapandji procedure facilitated forearm rotation.

Findings:

  • The surgical intervention involved meticulous tendon repair and nerve coaptation for functional restoration.
  • A modified Sauvé-Kapandji procedure was employed to enable forearm rotation.

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  • The thumb column was reconstructed using a free flap to enhance cosmetic outcomes.

    • Implications:

    • This case demonstrates the potential of complex reconstructive surgery to improve quality of life in patients with combined limb loss and neurological deficits.
    • The successful outcome highlights the adaptability of microsurgical techniques for functional and aesthetic restoration.
    • Regaining independence in activities of daily living was a key benefit for the patient.