A modification of the great-toe transfer for thumb reconstruction.
A modification of the great-toe-to-thumb transfer is presented, which includes sculpting the transferred toe with removal of soft-tissue pulp and bone from the lateral side of the toe. This modification provides the aesthetic advantages of the wrap-around flap while avoiding problems of bone graft resorption, pulp mobility, and a very difficult dissection. Function in our three patients has been excellent.
Upton
J
J
Division of Plastic and Maxillofacial Surgery, Brigham and Women's Hospital, Boston, Mass.
Mutimer
K
K
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D013518:Surgery, Plastic / Q000379:methods*; D013933:Thumb / Q000601:surgery*; D014034:Toes / Q000637:transplantation*