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Related Experiment Videos

Second toe-to-finger transfer in hand mutilations

G Foucher1

  • 1Emergency Hand Unit, Strasbourg, France.

Clinical Orthopaedics and Related Research
|May 1, 1995
PubMed
Summary
This summary is machine-generated.

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Second toe-to-finger transfers offer functional restoration for hand injuries and congenital deformities. This study shows a low failure rate and good functional recovery, enabling many patients to return to work.

Area of Science:

  • Orthopedic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Second toe-to-finger (STTF) transfer is a reconstructive option for digital loss.
  • It addresses both traumatic mutilating injuries and congenital hand deformities.

Purpose of the Study:

  • To review outcomes of STTF in patients with mutilating injuries and congenital deformities.
  • To evaluate functional results, including range of motion, sensation, and grip strength.

Main Methods:

  • Retrospective review of 68 STTF procedures in 55 patients.
  • Analysis of functional outcomes, complication rates, and return to work.
  • Follow-up averaged 6.7 years.

Main Results:

  • Overall failure rate was 6%, with 18% requiring secondary procedures.

Related Experiment Videos

  • Traumatic injury group: mean flexion 36°, extension lag 33°, 2-point discrimination 11 mm, grasp 47%, pinch 38%.
  • Congenital group: improved discrimination (5 mm), but no significant mobility gain; 86% had open growth plates.

    • Conclusions:

    • STTF provides a viable solution for restoring function after digital loss.
    • Patients with traumatic injuries showed significant functional gains, with 62.5% returning to manual labor.
    • While mobility gains were limited in congenital cases, sensory and pinch functions were improved.