Toe-to-thumb reconstruction.
Multiple digital losses will result in crippled hand function and toe transfers are proven to provide replacement of prehensile function. Given that basic hand function requires three factors, viz. an ulnar component, a radial component and opposition, various toe transfers can accomplish thumb ray and ulnar digital defect restoration. Opponensplasty and interpositional suspension arthroplasty can provide circumduction to the thumb component required to perform prehensile functions.
Plastic Reconstructive Surgery, Chang-Gung Memorial Hospital and Chang-Gung University, Taoyuan County, Taiwan. Electronic address: chihhung@cgmh.org.tw.
Chih-Hung
CH
Lin
D000673:Amputation, Traumatic / Q000503:physiopathology / Q000601:surgery*; D004954:Esthetics; D005385:Fingers / Q000294:innervation / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D008866:Microsurgery; D019651:Plastic Surgery Procedures; D020127:Recovery of Function; D062707:Return to Work; D013524:Surgical Flaps / Q000098:blood supply; D013710:Tendons / Q000503:physiopathology / Q000601:surgery*; D013933:Thumb / Q000293:injuries / Q000294:innervation / Q000601:surgery*; D014034:Toes / Q000294:innervation / Q000637:transplantation*; D016896:Treatment Outcome