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J Hand Microsurg 2010; 02(02): 72-78
DOI: 10.1007/s12593-010-0017-4
Review Article
Thieme Medical and Scientific Publishers Private Ltd.

Thumb Reconstruction with Toe Transfer

Steven L. Henry
,
Fu-Chan Wei
Subject Editor:
Further Information

Publication History

12 July 2010

15 August 2010

Publication Date:
05 September 2016 (online)

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Abstract

Microsurgical toe transfer has become a gold standard option for amputated thumb reconstruction. It can be used to correct almost any thumb defect. However, for optimal functional and esthetic results, proper initial care, preoperative planning, proper selection of suitable techniques, adjunct or secondary procedures and proper, postoperative rehabilitation are important.

Keywords

Thumb amputation - Microsurgery - Toe-to-thumb transfer
 

  • References

  • 1 Buncke Jr HJ, Buncke CM, Schulz WP. Immediate Nicoladoni procedure in the Rhesus monkey, or hallux-to-hand transplantation, utilizing microminiature vascular anastomses. Br J Plast Surg 1966; 19: 332-337
    CrossrefPubMedGoogle Scholar
  • 2 Cobbett JR. Free digital transfer: report of a case of transfer of a great toe to replace an amputated thumb. J Bone Joint Surg Br 1969; 51: 677-679
    PubMedGoogle Scholar
  • 3 Wei FC, Chen HC, Chuang CC, Noordhoff SM. Simultaneous multiple toe transfers in hand reconstruction. Plast Reconstr Surg 1988; 81: 366-377
    CrossrefPubMedGoogle Scholar
  • 4 Wei FC, Lutz BS, Cheng SL, Chuang DCC. Reconstruction of bilateral metacarpal hands with multiple toe transplantations. Plast Reconstr Surg 1999; 104: 1698-1704
    CrossrefPubMedGoogle Scholar
  • 5 Koshima I, Soeda S, Dakase T, Yamasaki M. Free vascularized nail grafts. J Hand Surg [Am] 1988; 13: 29-32
    CrossrefPubMedGoogle Scholar
  • 6 Logan A, Elliot D, Foucher G. Free toe pulp transfer to restore traumatic digital pulp loss. Br J Plast Surg 1985; 38: 497-500
    CrossrefPubMedGoogle Scholar
  • 7 Wei FC, Chen HC, Chuang DCC et al Second toe wraparound flap. Plast Reconstr Surg 1991; 88: 837-843
    CrossrefPubMedGoogle Scholar
  • 8 Chen SH, Wei FC, Chen HC, Hentz VR, Chuang DC, Yeh MC. Vascularized toe joint transfer to the hand. Plast Reconstr Surg 1996; 98: 1275-1284
    CrossrefPubMedGoogle Scholar
  • 9 Zook EG, Van Beek AL, Russell RC, Beatty ME. Anatomy and physiology of the paronychium: a review of the literature and anatomic study. J Hand Surg [Am] 1980; 5: 528-536
    CrossrefPubMedGoogle Scholar
  • 10 Chung K, Wei FC. An outcome study of thumb reconstruction using microvascular toe transfer. J Hand Surg [Am] 2000; 25: 651-658
    CrossrefPubMedGoogle Scholar
  • 11 Jones NF, Hansen SL, Bates SJ. Toe-to-hand transfers for congenital anomalies of the hand. Hand Clin 2007; 23: 129-136
    CrossrefPubMedGoogle Scholar
  • 12 Foucher G, Medina J, Navarro R, Nagel D. Toe transfer in congenital hand malformations. J Reconstr Microsurg 2001; 17: 1-7
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Yim KK, Wei FC, Lin CH. A comparison between primary and secondary toe-to-hand transplantation. Plast Reconstr Surg 2004; 114: 107-112
    CrossrefPubMedGoogle Scholar
  • 14 Woo SH, Kim JS, Seul JH. Immediate toe-to-hand transfer in acute hand injuries: overall results, compared with results for elective cases. Plast Reconstr Surg 2004; 113: 882-892
    CrossrefPubMedGoogle Scholar
  • 15 Wei FC. Tissue preservation in hand injury—the first step to toe-to-hand transplantation. Plast Reconstr Surg 1998; 102: 2497-2501
    CrossrefPubMedGoogle Scholar
  • 16 Reinisch JF, Winters R, Puckett CL. The use of the osteocutaneous groin flap in gunshot wounds of the hand. J Hand Surg [Am] 1984; 9: 12-17
    CrossrefPubMedGoogle Scholar
  • 17 Wei FC. Toe-to-hand transplantation. 2005. In: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW. (eds) Green’s operative hand surgery. 5th edn Elsevier; Philadelphia:
    Google Scholar
  • 18 Yim KK, Wei FC. Intraosseous wiring in toe-to-hand transplantation. Ann Plast Surg 1995; 35: 66-69
    CrossrefPubMedGoogle Scholar
  • 19 Wilson CS, Buncke HJ, Alpert BS, Gordon L. Composite metacarpophalangeal joint reconstruction in great toe-to-hand free tissue transfers. J Hand Surg [Am] 1984; 9: 645-648
    CrossrefPubMedGoogle Scholar
  • 20 Leung PC, Wong WL. The vessels of the first metatarsal web space: an operative and radiographic study. J Bone Joint Surg [Am] 1983; 65: 235-238
    PubMedGoogle Scholar
  • 21 Spanio S, Wei FC, Coskunfirat OK, Lin CH, Lin YT. Symmetry of vascular pedicle anatomy in the first web space of the foot related to toe harvest: clinical observations in 85 simultaneous bilateral second-toe transfer patients. Plast Reconstr Surg 2005; 115 ((5)) 1325-1327
    CrossrefPubMedGoogle Scholar
  • 22 Wei FC, Silverman TS, Hsu WM. Retrograde dissection of the vascular pedicle in toe harvest. Plast Reconstr Surg 1995; 96: 1211-1214
    CrossrefPubMedGoogle Scholar
  • 23 Morrison WA, O’Brien BM, MacLeod AM. Thumb reconstruction with a free neurovascular wrap-around flap from the big toe. J Hand Surg [Am] 1980; 5: 575-583
    CrossrefPubMedGoogle Scholar
  • 24 Wei FC, Chen HC, Chuang DC et al Aesthetic refinements in toe-to-hand transfer surgery. Plast Reconstr Surg 1996; 98: 485-490
    CrossrefPubMedGoogle Scholar
  • 25 Strauch RJ, Wei FC, Chen SHT. Composite finger metacarpophalangeal joint reconstruction in combined second and third free toe-to-hand transfers. J Hand Surg [Am] 1993; 18: 972-977
    CrossrefPubMedGoogle Scholar
  • 26 Dubert T. Current techniques for primary flexor tendon repair. Chir Main 2002; 21: 218-224
    CrossrefPubMedGoogle Scholar
  • 27 Jones NF, Gupta R. Postoperative monitoring of pediatric toe-to-hand transfers with differential pulse oximetry. J Hand Surg [Am] 2001; 26: 525-529
    CrossrefPubMedGoogle Scholar
  • 28 Dellon AL. Sensory recovery in replanted digits and transplanted toes: a review. J Reconstr Microsurg 1986; 2: 123-129
    Article in Thieme ConnectPubMedGoogle Scholar
  • 29 Wei FC, Ma HS. Delayed sensory reeducation after toe-to-hand transfer. Microsurgery 1995; 16: 583-585
    CrossrefPubMedGoogle Scholar
  • 30 del Piñal F. The indications for toe transfer after “minor” finger injuries. J Hand Surg [Br] 2004; 29: 120-129
    CrossrefPubMedGoogle Scholar
  • 31 Woo SH, Lee GJ, Kim KC, Ha SH, Kim JS. Cosmetic reconstruction of distal finger absence with partial second toe transfer. J Plast Reconstr Aesthetic Surg 2006; 59: 317-324
    CrossrefPubMedGoogle Scholar
  • 32 Frykman GK, O’Brien BM, Morrison WA, MacLeod AM. Functional evaluation of the hand and foot after one-stage toe-to-hand transfer. J Hand Surg [Am] 1986; 11: 9-17
    CrossrefPubMedGoogle Scholar
  • 33 Wei FC, Carver N, Lee YS et al Sensory recovery and Meissner corpuscle number after toe-to-hand transplantation. Plast Reconstr Surg 2000; 105: 2405-2411
    CrossrefPubMedGoogle Scholar
  • 34 Lin CH, Lin YT, Sassu P, Lin CH, Wei FC. Functional assessment of the reconstructed fingertips after free toe pulp transfer. Plast Reconstr Surg 2007; 120: 1315-1321
    CrossrefPubMedGoogle Scholar
  • 35 Chu NS, Wei FC. Recovery of sensation and somatosensory evoked potentials following toe-to-digit transplantation in man. Muscle Nerve 1995; 18: 859-866
    CrossrefPubMedGoogle Scholar
  • 36 Chu NS, Wei FC. Peripheral recovery and central response following toe-to-finger transplantation. Suppl Clin Neurophysiol 2006; 59: 317-320
    PubMedGoogle Scholar