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Related Experiment Videos

Double toe transfers.

P C Leung

    Journal of Hand Surgery (Edinburgh, Scotland)
    |June 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Toe transfers effectively restore hand function after severe injuries. Double toe transfers can recreate a pincer pinch in cases of total digit loss, while single or double transfers aid in achieving a three-point chuck pinch.

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    Area of Science:

    • Orthopedic Surgery
    • Reconstructive Surgery
    • Hand Surgery

    Background:

    • Mutilating hand injuries often result in significant loss of function.
    • Restoring prehensile function is crucial for patient quality of life.
    • Toe transfers are a reconstructive option for severe digital and hand deformities.

    Purpose of the Study:

    • To evaluate the efficacy of double toe transfers in restoring hand function.
    • To assess the functional outcomes of toe transfers for various types of mutilating hand injuries.
    • To determine the reconstructive potential of toe transplantation in cases of complete or partial digit loss.

    Main Methods:

    • Retrospective analysis of ten patients undergoing double toe transfers for mutilating hand injuries.
    • Detailed assessment of functional restoration, including pincer pinch and three-point chuck pinch.

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  • Surgical techniques involved transfer of separate toes and wrap-around flaps with bone grafts.

    • Main Results:

    • Two patients with total digit loss regained pincer pinch using double toe transfers.
    • Seven patients with thumb survival achieved a three-point chuck pinch with a second toe transfer and flap.
    • One patient with extensive loss received both single and double toe transfers for three-finger reconstruction.

    Conclusions:

    • Double toe transfers are a viable and effective method for restoring critical hand functions like pincer and chuck pinch.
    • Toe transplantation offers a valuable reconstructive solution for severe hand mutilations, significantly improving functional outcomes.
    • The technique can be adapted for various degrees of digit loss, from total absence to partial reconstruction.