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Toe-to-hand transfer: an analysis of 14 failed cases
1Department of Hand Surgery, Hua Shan Hospital, Shanghai Medical University, People's Republic of China.
The Journal of Hand Surgery
|September 1, 1993
Summary
Analyzing 325 toe-to-hand transfers, this study identified five critical factors for successful thumb and finger reconstruction. Key elements include managing arterial anomalies, resecting diseased vessels, monitoring capillary refill, and addressing hypercoagulable states to improve outcomes.
Area of Science:
- Microsurgery
- Reconstructive Surgery
- Vascular Surgery
Background:
- Toe-to-hand transfer is a reconstructive option for thumb and/or finger loss.
- Patient outcomes and factors influencing success require detailed analysis.
Purpose of the Study:
- To report on the outcomes of toe-to-hand transfer procedures.
- To identify critical factors associated with the survival of transferred toe digits.
Main Methods:
- Retrospective analysis of 325 toe-to-hand transfer cases.
- Identification of key factors in fourteen failed cases.
Main Results:
- Five critical factors were identified that significantly impact the survival of the transferred toe.
- These factors include managing arterial anomalies, vascular segment resection, capillary refill monitoring, and hypercoagulable state management.
Conclusions:
- Careful attention to specific vascular and hematologic factors is crucial for successful toe-to-hand transfer.
- Optimizing these elements can improve the success rate of thumb and finger reconstruction using toe-to-hand transfers.