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J Reconstr Microsurg 2001; 17(1): 001-008
DOI: 10.1055/s-2001-12682
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Toe Transfer in Congenital Hand Malformations

Guy Foucher, Jose Medina, Ricardo Navarro, D. Nagel;
  • SOS Main Strasbourg, France
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Publication History

Publication Date:
31 December 2001 (online)

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ABSTRACT

Fifty-eight patients with congenital hand abnormalities underwent 65 toe-to-hand transfers. Symbrachydactyly (51 cases) was the most frequent indication. Forty-seven second toe-to-hand transfers were performed in 44 patients. The mean follow-up time was 5.2 years. Two failures occurred in cases in which only one artery was anastomosed; no failures were noted when more than one artery fed the transfer. Two patients with a single second-toe transfer presented with lateral instability of the transferred metatarsophalangeal joint. The mean active range of motion was 38°, with a mean extension lag of 25°. The mean two-point discrimination was 5 mm. Forty-one patients used the transferred toe well, when performing activities of daily living and playing games. Toe-to-hand transfer, prior to the establishment of the grip pattern, facilitates integration of the transfer.

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