[Microsurgical correction of the congenital adactylous hand]

The correction of different kinds of congenital malformations of the hand by means of microsurgical autotransplantation of toes onto the hand was performed to 17 patients. The main purpose of the operation was to restore the hand function, to improve the esthetic appearance of the hand which must be solved in parallel, but is not an indication to operation. Tactics of operation for transplantation of toes onto the hand must be different for different congenital defects and dependent on the function of the 1st finger. Of great importance is the question whether the operation will give an additional function of the hand and whether this function will be more effective or profitable than the initial one.