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Problems in toe-to-hand transfers.

P C Leung

    Annals of the Academy of Medicine, Singapore
    |April 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Toe-to-hand transfers present surgical challenges, including vessel preservation and fixation. Post-operative issues like congestion and thrombosis can affect graft survival, while functional recovery varies with reconstruction site.

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    Area of Science:

    • Microsurgery
    • Reconstructive Surgery
    • Orthopedic Surgery

    Background:

    • Toe-to-hand transfer is a reconstructive technique for severe hand injuries.
    • Understanding the challenges is crucial for improving patient outcomes.

    Purpose of the Study:

    • To analyze the operative, post-operative, and functional problems in 70 toe-to-hand transfer cases.
    • To identify factors influencing the success of these complex procedures.

    Main Methods:

    • Review of 70 toe-to-hand transfer cases.
    • Categorization of complications into operative, post-operative, and functional issues.
    • Evaluation of donor site and recipient site outcomes.

    Main Results:

    • Operative challenges include donor vessel integrity, bony fixation, and vein selection.

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  • Post-operative complications involve graft survival issues like venous congestion and arterial thrombosis.
  • Functional recovery is better for reconstructions at the metacarpophalangeal (M-P) joint level compared to more proximal sites.
  • Conclusions:

    • Toe-to-hand transfers are complex procedures with multifactorial challenges.
    • Careful surgical planning and management are essential to mitigate risks.
    • Functional outcomes are site-dependent, emphasizing the importance of precise reconstruction levels.