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Toe-to-Hand Transfers: More Than 20 Years Follow-Up of Five Post-Traumatic CasesFrom the VKV American Hospital, Department of Hand and Microsurgery, Nisantasi, Istanbul, Turkey Correspondence: Prof Dr Ayan Gülgönen, Poyracik Sok. Ustun Apt. No: 55/3, Nisantasi, Istanbul, Turkey. Tel.: +90 212 2259225; fax: +90 212 2190163. E-mail: drayangulgonen{at}hotmail.com In post-traumatic losses of the thumb and fingers, reconstruction can be performed with success using various combinations of toe transfers. In this study, we have presented second toe and combined toe transfers which have been followed up for more than 20 years. Second toe transfer was used in four patients for reconstruction of the thumb. Combined second and third toe transfer was performed in two patients with a metacarpal hand for finger reconstruction. Long-term follow-up results show that patients with toe-to-hand transfers have acceptable adaptation to the reconstructed hand and good hand function. Toe transfer should be individually planned and carefully executed to obtain optimal results and minimal disability in the donor foot.
Key Words: toe-to-hand • toe transfer • long-term follow-up • post-traumatic defect
Journal of Hand Surgery (British and European Volume), Vol. 31, No. 1,
2-8 (2006) |
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