title: Metacarpal-Like and Metacarpal Hand.
abstract: The metacarpal-like and metacarpal hand injuries are devastating conditions that render the hand nonfunctional. Although the metacarpal hand is well-studied, the metacarpal-like hand is never addressed. The authors, using the same principles as in the classification and treatment of metacarpal hand, propose an easy to follow treatment algorithm for metacarpal-like hand injury to guide the reconstructive surgeon. For both injuries, microsurgical toe-to-hand transplantation can restore an acceptable level of function if done properly. Meticulous planning is essential for the toe-to-hand surgery to achieve its prime goal of stable tripod pinch with insignificant morbidity at the donor sites.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, Taipei, Taiwan.
authors.forename: Nidal Farhan
authors.initials: NF
authors.lastname: ALDeek
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, Taipei, Taiwan.
authors.forename: Yu-Te
authors.initials: YT
authors.lastname: Lin
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, 199 Tun-Hwa North Road, Taipei 10591, Taiwan. Electronic address: fuchanwei@gmail.com.
authors.forename: Fu-Chan
authors.initials: FC
authors.lastname: Wei
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005383:Finger Injuries / Q000601:surgery; D006230:Hand Injuries / Q000145:classification / Q000601:surgery*; D006801:Humans; D008297:Male; D008488:Medical Illustration; D050279:Metacarpal Bones / Q000293:injuries; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D010781:Photography; D014034:Toes / Q000637:transplantation*
keywords: Combined second and third toe transfer; Metacarpal hand; Metacarpal-like hand; Second toe transfer; Toe-to-hand transfer; Trimmed great toe transfer; Tripod pinch; Whole great toe transfer