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Toe-to-hand free tissue transfer for thumb construction with multiple digit aplasia
Plastic and Reconstructive Surgery
|February 1, 1981
Summary
Toe-to-hand free tissue transfer successfully reconstructed a 9-year-old boy’s hands with bilateral radial digit aplasia. This innovative procedure created functional, prehensile digits, offering a solution for severe hand deformities.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Pediatric Hand Surgery
Background:
- Congenital aplasia of the radial digits presents a significant reconstructive challenge.
- Severe deficiencies in local hand tissues often limit traditional reconstructive options.
Observation:
- A 9-year-old boy with bilateral radial digit aplasia and bilateral cleft foot deformity was treated.
- The case involved a one-stage surgical approach for bilateral toe-to-hand free tissue transfers.
Findings:
- Successful creation of functional, movable, and sensate radial digits was achieved.
- Toe-to-hand free tissue transfer proved effective in restoring prehensile function.
- The procedure addressed hands with marked deficiencies in local reconstructive tissues.
Implications:
- Toe-to-hand free tissue transfer is a viable option for complex pediatric hand reconstruction.
- This technique offers a solution for congenital hand deformities where local tissues are inadequate.
- Restoration of a functional prehensile digit can significantly improve a patient's quality of life.