title: Toe-to-hand transfer in symbrachydactyly.
abstract: Symbrachydactyly, or central atypical cleft, is classified as a failure of formation. For the adactylous or monodactylous forms, free toe transfer is the treatment of choice. We present 18 free toe transfers in 13 patients for symbrachydactyly. Despite abnormal anatomy, the functional building blocks have always been available and transfer technically possible. The result has been improved function and high levels of parental satisfaction.
authors.affiliation: Melbourne Paediatric Hand Centre, Department of Plastic and Maxillofacial Surgery, Royal Children's Hospital, Melbourne, Australia.
authors.forename: Philip W F
authors.initials: PW
authors.lastname: Richardson
authors.forename: Bruce R
authors.initials: BR
authors.lastname: Johnstone
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Coombs
mesh_terms: D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006228:Hand Deformities, Congenital / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D009048:Motor Skills / Q000502:physiology; D019637:Orthopedic Procedures / Q000379:methods*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D014034:Toes / Q000098:blood supply / Q000294:innervation / Q000637:transplantation*; D016896:Treatment Outcome