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Pincer reconstruction using second toe transplantation.

P C Leung

    Journal of Hand Surgery (Edinburgh, Scotland)
    |June 1, 1987
    PubMed
    Summary
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    Toe transfers can restore pincer grip in patients with severe hand injuries. While not all transfers were successful, those that survived provided useful hand function.

    Area of Science:

    • Orthopedic Surgery
    • Hand Surgery
    • Microsurgery

    Background:

    • Mutilating hand injuries often result in significant functional loss.
    • Restoring pincer grip is crucial for hand functionality.

    Purpose of the Study:

    • To evaluate the efficacy of second toe transfer for reconstructing pincer grip in patients with severe hand injuries.
    • To assess the functional outcomes of toe-to-hand transfers in cases of digit loss at the metacarpal level.

    Main Methods:

    • Surgical transfer of the second toe to the metacarpal stump in nine patients.
    • Assessment of graft survival and functional recovery, focusing on pincer grip restoration.

    Main Results:

    • Toe transfers were performed on nine patients with severe hand mutilation.

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  • Graft survival varied, but successful transfers demonstrated useful functional recovery.
  • Restored pincer grip was achieved in patients with successful toe transfers.

    • Conclusions:

    • Second toe transfer is a viable option for restoring pincer grip after severe hand injuries.
    • Despite potential complications, successful toe transfers can significantly improve hand function.