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[202 toe transfers to the hand]

C Meuli-Simmen1, G M Buncke, A Oliva

  • 1Division of Microsurgical Replantation-Transplantation, Davies Medical Center, San Francisco, California, USA.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|March 1, 1995
PubMed
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Toe-to-hand transplants offer a 97% success rate for finger reconstruction, leveraging anatomical similarities for optimal functional and cosmetic outcomes. Early and combined procedures show advantages in rehabilitation.

Area of Science:

  • Microsurgery
  • Reconstructive Surgery
  • Orthopedic Surgery

Context:

  • Toe-to-hand transplantation is a reconstructive option for severe hand injuries.
  • This study reviews 20 years of data from a single center.

Purpose:

  • To evaluate the outcomes of toe-to-hand transplantation.
  • To identify factors influencing success and rehabilitation.

Summary:

  • A retrospective analysis of 202 toe-to-hand transplants was conducted.
  • The overall success rate was 97%, with optimal functional and cosmetic results.
  • Great toes were preferred for thumb reconstruction; other toes for long fingers.
  • Early, multiple, and combined toe transplants with free flaps showed benefits.

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Impact:

  • Toe transplantation provides a viable solution for finger loss.
  • Findings can guide surgical planning for improved patient outcomes and reduced rehabilitation times.