[A free transfer of the pulp of the toe with an exteriorized flap. A compromise between microsurgery and traditional surgery].
Free toe pulp transfer represents the most sophisticated technique which corresponds functionally as close as possible to total restoration of the digital pulp. However, this operation presents technical disadvantages related to the very small calibre of the vessels when the vascular anastomosis is performed in the digit. When the artery and vein are anastomosed in the metacarpal region to achieve vessels with a larger calibre, the passage of the pedicle in the finger is difficult and requires complete opening of the digital canal, resulting in a finger which is often enlarged with limited mobility. The authors propose a technique which overcomes these two disadvantages.
Brunelli
F
F
Institut Français de la Main, Paris.
Capucci
M
M
Magnano
D
D
D000714:Anastomosis, Surgical / Q000379:methods; D001158:Arteries / Q000601:surgery; D001458:Bandages; D002921:Cicatrix / Q000601:surgery; D003238:Connective Tissue / Q000637:transplantation; D005385:Fingers / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D008663:Metacarpus / Q000098:blood supply / Q000601:surgery; D008866:Microsurgery; D013524:Surgical Flaps / Q000379:methods* / Q000473:pathology; D013536:Suture Techniques; D014034:Toes; D014680:Veins / Q000601:surgery