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Primary toe-to-thumb transfer in the acutely avulsed thumb
Plastic and Reconstructive Surgery
|February 1, 1981
Summary
A toe-to-thumb transfer using microvascular anastomosis reconstructed a thumb amputation. While not standard, this single-stage procedure restored length, sensation, and appearance with a short hospital stay.
Area of Science:
- Microsurgery
- Reconstructive surgery
- Hand surgery
Background:
- Acute degloving amputation of the thumb presents a significant reconstructive challenge.
- Standard treatment protocols may not always be optimal for every patient scenario.
Observation:
- A primary toe-to-thumb transfer utilizing microvascular anastomosis was performed for thumb degloving amputation.
- This approach was considered due to specific patient advantages.
Findings:
- The procedure was a single-stage intervention.
- It successfully restored thumb length, sensibility, and soft tissue cover.
- Cosmetic outcomes were improved.
- Hospitalization duration was minimized.
Implications:
- This case highlights a potential alternative reconstructive option for thumb amputation.
- It demonstrates the feasibility of toe-to-thumb transfer for functional and aesthetic restoration.
- Further research may explore indications for this non-standard approach.