title: Second toe to index finger transfer.
abstract: Between April 1994 and May 1998, 15 amputated index fingers were treated based on three classifications: group 1 consisted of patients with index finger defects immediately proximal to, yet including, the distal interphalangeal joint, group 2 were those patients with defects from the proximal part of the distal interphalangeal joint to the distal part of the proximal interphalangeal joint and group 3 comprised patients with more proximal defects than group 2. With a total of six men and nine women, seven cases were included in group 1, five in group 2 and three in group 3. For the patients in groups 1 and 2, only a partial length of the second toe was transferred to the index finger, whereas in group 3 the total length of the toe needed to be transferred. The results can be summarised as follows:1. The two-point discrimination of the reconstructed index tip was 2.2 mm for group 1, 2 mm for group 2 and 2.3 mm for group 3.2. In group 1, the average range of motion in the transferred toe was 43.8>> in the distal interphalangeal joint. In groups 2 and 3, the average range of motion in the transferred toe was 30>> and 30.7>> in the distal interphalangeal joint, and 50>> and 39.3>> in the proximal interphalangeal joint, respectively.3. When compared with the contralateral index finger, the pinching power was measured at 83% in group 1, 70% in group 2 and 60% in group 3.4. Excellent results were obtained in group 1, good results in group 2 and fair results in group 3. Accordingly, the more proximal the defect in the index finger, the less satisfactory the result obtained.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital, Taegu.
authors.forename: B C
authors.initials: BC
authors.lastname: Cho
authors.forename: D H
authors.initials: DH
authors.lastname: Lee
authors.forename: J W
authors.initials: JW
authors.lastname: Park
authors.forename: J S
authors.initials: JS
authors.lastname: Byun
authors.forename: B S
authors.initials: BS
authors.lastname: Baik
mesh_terms: D000328:Adult; D002921:Cicatrix / Q000601:surgery; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D013524:Surgical Flaps / Q000592:standards; D014034:Toes / Q000637:transplantation*