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Non-Invasive Visualization of Nailbed Microvascular Morphology in Mice Using Capillaroscopy
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Microvascular second toe transfer for digital reconstruction.

B O'Brien, A M MacLeod, P J Sykes

    The Journal of Hand Surgery
    |March 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Toe transfers offer a viable solution for severe hand injuries. This study demonstrates successful one-stage microvascular toe-to-finger transplantation, restoring function in patients with multiple digit amputations.

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    Area of Science:

    • Plastic Surgery
    • Microsurgery
    • Reconstructive Surgery

    Background:

    • Reconstructing severely damaged hands with multiple digit amputations is challenging.
    • Previous success with great toe-to-thumb transfer inspired further investigation.
    • Microvascular techniques enable complex tissue transplantation.

    Observation:

    • Two patients underwent one-stage microvascular transfer of a second toe.
    • One toe reconstructed an index finger; another restored part of a ring finger.
    • Transplanted toes survived without the need for anticoagulants.

    Findings:

    • No vascular complications were observed in the transplanted toes.
    • Adequate sensory return was achieved in the reconstructed digits.
    • Significant functional improvement was noted post-transplantation.

    Implications:

    • One-stage second toe-to-finger transfer is a safe and effective reconstructive option.
    • This technique can restore function and improve quality of life for patients with severe hand injuries.
    • Further research can explore broader applications of toe transplantation in hand reconstruction.