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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
PubMed
Summary
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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.

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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.