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J Hand Microsurg
DOI: 10.1055/s-0043-1762897
Case Report

Subtotal Second Toe Transfer for Finger Reconstruction after Malignant Fibroblastic Tumor Resection

Kazufumi Sano
1   Department of Plastic & Reconstructive Surgery, Juntendo University Hospital, 3-1-3 Hongo Bunkyoku, Tokyo, Japan
,
Yoshiyuki Suehara 
2   Department of Orthopaedic Surgery, Juntendo University Hospital, 3-1-3 Hongo Bunkyoku, Tokyo, Japan
,
Daisuke Kubota
2   Department of Orthopaedic Surgery, Juntendo University Hospital, 3-1-3 Hongo Bunkyoku, Tokyo, Japan
,
Rina Takahashi
3   Department of Rehabilitation Medicine, Dokkyo Saitama Medical Center, 2-1-50 Minami-koshigaya Koshigaya, Saitama, Japan
,
Yuichi Ichikawa
1   Department of Plastic & Reconstructive Surgery, Juntendo University Hospital, 3-1-3 Hongo Bunkyoku, Tokyo, Japan
,
Miho Tobita
1   Department of Plastic & Reconstructive Surgery, Juntendo University Hospital, 3-1-3 Hongo Bunkyoku, Tokyo, Japan
,
Hiroshi Mizuno
1   Department of Plastic & Reconstructive Surgery, Juntendo University Hospital, 3-1-3 Hongo Bunkyoku, Tokyo, Japan
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Abstract

The transposition of an adjacent finger following the loss of a finger due to a malignant tumor resection improves hand function. However, patients may not accept the resulting appearance of a three-finger hand. A 28-year-old male with a malignant fibroblastic tumor at the base of the ring finger underwent resection of the tumor, excising the phalanx and a portion of the metacarpal. He refused a ray amputation and subsequent fifth-finger transposition. Therefore, we reconstructed the defect with a long-vascularized subtotal second toe from the metacarpal neck to the middle phalanx base of the fourth finger. There was no tumor recurrence, and the patient was highly satisfied with hand function and cosmetic appearance at 3 years of follow-up.

Keywords

toe to finger transfer - ray transposition - malignant soft tissue tumor - finger reconstruction


Publication History

Article published online:
13 March 2023

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