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Updated: Feb 1, 2026

Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
The Utility of the Knotless Suture Fixation for Bilateral Second Toe Transplantation in Traumatic Multiple-Digit
Yasuhiro Yamamoto1, Satoshi Ichihara2, Akira Hara2
1Department of Orthopedic Surgery, Koto Hospital, Tokyo, Japan.
Abstract:
Toe-to-hand transfer is a useful reconstruction method after finger amputation. We report a case of multiple-digit amputation, reconstructed with bilateral second-toe transfer. In this study, we used a knotless suture fixation system (ZipTight™; Arthrex Inc., FL, USA) which effectively closed the wound and reduce the amount of dead space. Both second-toe transplantations survived. The feet were asymptomatic with good cosmetic outcomes. Although the reconstructed digits had limited range of motion, the patient was able to return to work. Knotless suture fixation system may be one of the effective methods for closing the donor site wound in second-toe transplantations.
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