title: Toe-to-finger transfer combined with wrap-around flap: a new technique for four-finger amputation.
abstract: A surgical technique for reconstruction of four-finger amputation, toe-to-finger transfer combined with wrap-around flap procedure, is described. Opposable ulnar fingers, reconstructed using the second and third toe, provide sufficient grip function. The long finger, reconstructed with the wrap-around flap using the lateral aspect of the great toe, provides pinch function. Improving the hand function is worthwhile despite morbidity from losing two toes.
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Nishijima
authors.forename: T
authors.initials: T
authors.lastname: Yamamuro
authors.forename: K
authors.initials: K
authors.lastname: Fujio
mesh_terms: D000673:Amputation, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000000981:diagnostic imaging / Q000294:innervation / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013524:Surgical Flaps / Q000379:methods*; D014034:Toes / Q000000981:diagnostic imaging / Q000637:transplantation*