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Journal of Hand Surgery (British and European Volume)
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Articles

The Donor Foot in Free Toe or Joint Transfers

X. B. YANG
Y. D. GU

From the Institute of Hand Surgery, Huashan Hospital, Shanghai Medical University, Shanghai, China and the Department of Orthopaedics, Southampton General Hospital, Southampton, UK

Correspondence: Dr Xuebin Yang, University Orthopaedics, MP817, Southampton General Hospital, Southampton, SO16 6YD, UK. E-mail: xb_y{at}yahho.com

Eighty-four cases of free second toe, multiple toe or second metatarsophalangeal joint transfers were studied by case review and follow-up. The function of the donor foot had recovered completely within 6 months in 89% of patients. The wounds on the donor foot healed in 2–3 weeks in 90% of patients. Slight numbness on the dorsal aspect of the donor foot, intolerance to cold, mild reduction in push-off, scar tenderness and pain or swelling occurred in only a few patients and generally were not considered of significance. Multiple toe transfers created more donor problems in terms of healing and appearance. Some foot deformities with plantar callosities were observed at long term review. However, all patients were capable of work and normal activities.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 4, 382-384 (2000)
DOI: 10.1054/jhsb.2000.0397
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