[Hand reconstruction by microsurgical free toe transfer].
Reconstruction of complex hand mutilations with multi-digital or thumb amputations are best treated with microsurgical toe transfers. We present the results of the first 15 cases operated by the first author, of which 12 are thumb reconstructions (6 great toe and 6 second toe transfers) and 3 long fingers reconstructions with combined second and third toe transfers. There were no microsurgical complications. Cortical integration and functional integration was achieved for all transferred toes, with discriminatory sensibility (m2PD between 5 and 13 mm) and active mobility range between 30 and 60 degrees.
Stamate
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Facultatea de Medicină, Universitatea de Medicină si Farmacie Gr.T. Popa Iaşi, Clinica de Chirurgie Plastică şi Reconstructivă, Spitalul Clinic de Urgenţe Iaşi.
Budurcă
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AR
Hermeziu
Oana
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D000062:Accidents, Occupational; D000293:Adolescent; D000328:Adult; D005383:Finger Injuries / Q000601:surgery*; D006225:Hand / Q000601:surgery; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D016059:Range of Motion, Articular; D013933:Thumb / Q000293:injuries / Q000601:surgery*; D014034:Toes / Q000637:transplantation*; D016896:Treatment Outcome