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Pulp plasty after toe-to-hand transplantation

F C Wei1, K K Yim

  • 1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical Center, Taipei, Taiwan, R.O.C.

Plastic and Reconstructive Surgery
|September 1, 1995
PubMed
Summary

Pulp plasty effectively improves the appearance and function of transplanted digits after toe-to-hand surgery. This simple procedure leads to high patient satisfaction with minimal adverse effects.

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Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Toe-to-hand transplantation is a complex procedure for digit reconstruction.
  • Transplanted digits can develop bulbous pulp, affecting aesthetics and function.
  • Surgical refinement of the pulp is often necessary post-transplantation.

Purpose of the Study:

  • To evaluate the effectiveness of pulp plasty in improving the appearance and function of transplanted digits.
  • To assess patient satisfaction and complication rates associated with pulp plasty.
  • To determine the overall impact of pulp plasty on outcomes after toe-to-hand transplantation.

Main Methods:

  • Retrospective review of 82 digits in 51 patients who underwent pulp plasty.
  • Pulp plasty performed an average of 14 months post-transplantation.

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  • Follow-up averaged 20 months to assess outcomes.

    • Main Results:

    • Subjective improvement in appearance reported in 67.1% of cases.
    • Subjective improvement in function reported in 63.4% of cases.
    • Procedure deemed worthwhile in 87.8% of cases; painful scarring and hypersensitivity were rare.

    Conclusions:

    • Pulp plasty is a simple and effective procedure for enhancing the aesthetic and functional outcomes of toe-to-hand transplants.
    • The procedure demonstrates high patient satisfaction and a low complication profile.
    • Pulp plasty is a valuable adjunct to toe-to-hand transplantation, improving overall patient-reported results.