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Syndactylic toe transfer for fingertip reconstruction
Y Hirasé1, T Kojima, M Takeishi
1Department of Plastic and Reconstructive Surgery, Jikei University School of Medicine, Japan.
Plastic and Reconstructive Surgery
|March 1, 1995
Summary
Syndactylic toe transfer allows simultaneous reconstruction of multiple fingertips using a single vascular pedicle. This innovative technique overcomes recipient artery limitations for toe transfers, achieving successful outcomes.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Multiple fingertip injuries present a reconstructive challenge, particularly when requiring toe transfers.
- Limited recipient vessel availability can restrict options for simultaneous toe transfers.
Observation:
- A novel technique involving syndactylic elevation of double toes on a single vascular pedicle was employed for fingertip reconstruction.
- Three variations of this technique, combining wrap-around flaps and whole-toe transfers, were utilized across three patients.
Findings:
- All three fingertip reconstruction cases using syndactylic toe transfer achieved complete survival of the transferred digits.
- Aesthetically pleasing results were obtained in all patients, demonstrating the technique's efficacy.
Implications:
- Syndactylic toe transfer offers a viable solution for multiple fingertip reconstruction by overcoming recipient artery limitations.
- This method provides a valuable alternative for complex reconstructive scenarios in plastic and reconstructive surgery.