Reconstruction of the thumb with a trimmed-toe transfer technique.
The trimmed-toe transfer is a new modification of the existing great-toe transfer technique for thumb reconstruction. This procedure was devised to circumvent patient concerns regarding overly large reconstructed digits following total great-toe-to-hand transfer. This technique involves reduction of both the bony and soft-tissue elements along the medial aspect of the transferred great toe in order to produce a more normal sized thumb. Follow-up of the initial 20 patients from 1983 to 1986 demonstrates good stability, grip strength, and pinch strength. Although compared with total great-toe transfer a modest reduction in joint motion of trimmed toes has been observed, the overall appearance and usefulness of the reconstructed thumbs have been excellent.
Wei
F C
FC
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
Chen
H C
HC
Chuang
C C
CC
Noordhoff
M S
MS
D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D013518:Surgery, Plastic / Q000379:methods*; D013933:Thumb / Q000293:injuries / Q000601:surgery*; D014034:Toes / Q000637:transplantation*