Publication details

Toe-to-hand transfer: a donorsite morbidity

Authors

STUPKA Igor VESELÝ Jiří MOLITOR Martin HÝŽA Petr KUČEROVÁ Lucie

Year of publication 2004
Type Article in Proceedings
Conference Magyar Traumatológia, Ortopédia, Kézsebészet, Plastzikai Sebészet, Abstract Book
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords toe-to hand transfer; foot morbidity
Description Toe-to-hand transfers to replace missing fingers have become a common reconstructive practice in our clinic. The purpose of this article is to evaluate morbidity of the donor site on the foot following the transfer. A group of 72 patients were assessed; 95 feet were examined post-transfers, i.e. The groups were arranged according to the numbers of patients as follows: group A (37 cases), second toe from one foot; group B (17 cases), second toes from both feet; group C (6 cases) with wrap-around flap; and group D (5 cases), the whole big toe. This was followed by group E (7 patients), who had the combination of the second and third toes harvested simultaneously, the great toe or wrap-around flap in combination with harvesting the second toe from the same or contralateral foot The least significant problems occurred in patients with the second toe harvested, they had minimum complaints with static loading and minor complaints with dynamic loading. Patients with the second toes harvested from both feet also had minimum complaints with static loading and minor complaints in dynamic loading. More problems were observed with both static and dynamic loading in the patients with the great-toe transfer.

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