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Ectopic banking of amputated great toe for delayed thumb reconstruction: case report
Ian L Valerio1, Helen G Hui-Chou1, Jonathan Zelken1
1Plastic and Reconstructive Surgery Service, and the Hand Surgery Service, Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda; Johns Hopkins/University of Maryland Plastic and Reconstructive Surgery Program, Baltimore; Role 3 Multinational Medical Unit (MMU), Kandahar, Afghanistan; Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD.
Abstract:
Ectopic banking of amputated parts is a recognized technique for delayed replantation of an amputated part when the amputation stump will not permit immediate replantation. This is conventionally performed with the intent of transferring the injured part back to its anatomic position when the amputation stump is more appropriate for replantation. Current warfare conditions have led to a commonly encountered military trauma injury pattern of multiple extremity amputations with protected trunk and core structures. This pattern poses many challenges, including the limit or absence of donor sites for immediate or delayed flap reconstructive procedures. We describe a case in which we ectopically banked the great toe of an amputated lower extremity for delayed thumb reconstruction.
