Microvascular second toe to finger transfer: a statistical analysis of 55 transfers.
A series of 55 second toe to long finger transfers in 42 patients are reviewed. The mean age is 17 years. The mean follow-up is more than 4 years. Two-point discrimination averages 8 mm. The sensibility is influenced by age, amputation score, ischaemic time, number of arteries, level of amputation, mobility, compensation injury and sensory re-education. The mean mobility is 33 degrees of flexion with a mean extension lack of 34.5 degrees. The mobility is influenced by dominance, amputation score, ischaemic time, number of arteries, level of amputation and compensation injury. There are four failures (7.2%). This rate of complication is influenced by tobacco, age, number of arteries and level of vascular anastomosis.
Foucher
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SOS Main, Strasbourg, France.
Moss
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D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D004192:Discrimination, Psychological / Q000502:physiology; D005260:Female; D005385:Fingers / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008833:Microcirculation; D008866:Microsurgery / Q000379:methods*; D009068:Movement / Q000502:physiology; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D012907:Smoking / Q000009:adverse effects; D013997:Time Factors; D014034:Toes / Q000637:transplantation*; D014656:Vascular Surgical Procedures / Q000379:methods