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Related Experiment Videos

Toe-to-hand transfer. Current concepts, techniques, and research

F C Wei1, T A el-Gammal

  • 1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical College, Taipei, Taiwan, ROC.

Clinics in Plastic Surgery
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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Toe-to-hand transfer reconstructs digits distal to the sublimis insertion, offering an alternative when replantation is not feasible. Individualized techniques and rehabilitation are key for optimal functional recovery.

Area of Science:

  • Microsurgery
  • Reconstructive Surgery
  • Orthopedics

Background:

  • Toe-to-hand transfer is a reconstructive surgical technique used for digit loss.
  • This method is employed for digits distal to the sublimis insertion when replantation is not an option.

Purpose of the Study:

  • To present the current status and techniques of toe-to-hand transfer.
  • To highlight the importance of individualized approaches and rehabilitation for functional recovery.

Main Methods:

  • Review of toe-to-hand transfer cases and techniques.
  • Implementation of technical refinements for harvesting and reconstruction.
  • Emphasis on motor rehabilitation and sensory re-education.
  • Ongoing research using computerized work simulators, gait analysis, and somatosensory evoked potentials.

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Main Results:

  • Toe-to-hand transfer is routinely used for digit reconstruction.
  • Early, one-stage reconstruction is recommended for clean wounds.
  • Technical refinements improve outcomes for both reconstructed digits and donor sites.
  • Aggressive rehabilitation is crucial for optimal functional recovery.

Conclusions:

  • Toe-to-hand transfer is an effective reconstructive option for digit loss.
  • Individualized technique selection and comprehensive rehabilitation are essential for success.
  • Ongoing research aims to further optimize functional and sensory recovery.