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Psychological Aspects of Toe to Hand Transfer in Children

Comparison of views of children and their parents

From the Department of Plastic, Reconstructive and Hand Surgery, St James’s University Hospital, Leeds, UK

Correspondence: M. Bellew PhD, Department of Plastic, Reconstructive and Hand Surgery, St James’s University Hospital, Beckett Street, Leeds LS9 7TF, UK.

Thirty-seven children with congenital (n = 32) or post-traumatic (n = 5) hand anomalies underwent unilateral or bilateral toe transfers. All had undergone preoperative counselling. After rehabilitation and more than 1 year after surgery, the children and their parents were reviewed by a clinical psychologist to assess the psychosocial outcome of the surgery. A high level of satisfaction was reported with regard to the surgery, in terms of function, cosmesis, donor site, psychosocial wellbeing and the reactions of others. This was true regardless of the gender of the child. However, there was a tendency for the children to be more positive in their responses than their parents.

Journal of Hand Surgery (British and European Volume), Vol. 24, No. 6, 712-718 (1999)
DOI: 10.1054/JHSB.1999.0301


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