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Related Experiment Videos

[Free toe transplantation in reconstructive hand surgery]

J van Schoonhoven1, M Tränkle, H Krimmer

  • 1Abteilung I, Klinik für Handchirurgie, Bad Neustadt/Saale.

Der Orthopade
|September 5, 1998
PubMed
Summary
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Free toe-to-hand transplantation effectively restores hand function after amputations or congenital defects. This microsurgical technique offers significant functional and aesthetic improvements, including restored sensation.

Area of Science:

  • Microsurgery
  • Reconstructive surgery
  • Orthopedics

Context:

  • Free toe-to-hand transplantation is a reconstructive surgical option for hand function restoration.
  • Established microsurgical techniques enable successful toe-to-hand transplants.
  • This procedure addresses thumb and finger amputations and congenital defects.

Purpose:

  • To evaluate the indications, techniques, and outcomes of free toe-to-hand transplantation.
  • To compare toe-to-hand transplantation with alternative reconstructive operations.
  • To present clinical cases demonstrating functional and aesthetic results.

Summary:

  • 18 free toe-to-hand transplantations were performed since 1992 for various hand defects.
  • The procedure successfully restored elementary hand functions like grip and pinch in all patients.

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  • Key advantages include simultaneous restoration of length, mobility, strength, and sensibility.
  • Impact:

    • Free toe-to-hand transplantation is a viable and effective method for reconstructing hand function.
    • The technique provides significant functional and aesthetic benefits for patients with hand loss.
    • Simultaneous restoration of multiple hand functions, including sensation, is a major advantage.