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Related Experiment Videos

Arteriography before toe to hand free tissue transfer operation

P Hekali, S Vilkki, K Solonen

    European Journal of Radiology
    |November 1, 1981
    PubMed
    Summary

    Toe-to-hand transfers are a complex reconstructive surgery. Preoperative arteriography is crucial for selecting appropriate arteries and toes, with most great toe and second toe transfers proving successful.

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    Area of Science:

    • Microsurgery
    • Reconstructive surgery
    • Vascular surgery

    Background:

    • Toe-to-hand transfer is a reconstructive option for severe hand injuries.
    • Preoperative assessment is vital for surgical planning.

    Purpose of the Study:

    • To evaluate the outcomes of toe-to-hand transfer procedures.
    • To identify factors influencing surgical success.

    Main Methods:

    • Eight patients underwent toe-to-hand transfer over two years.
    • Preoperative hand and foot arteriography was performed in all cases.
    • Great toe and second toe were used for transplantation.

    Main Results:

    • Seven out of eight toe-to-hand transfers were successful.
    • One transfer of a second toe failed.
    • No significant difference in anastomosed artery diameters between successful and failed cases.
    • Smaller digital artery diameter was noted in the failed case.

    Conclusions:

    • Toe-to-hand transfer is a viable reconstructive technique.
    • Preoperative arteriography aids in selecting suitable arteries and toes.
    • Digital artery diameter may be a critical factor in successful toe transfer.

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