Effecacy analysis on finger reconstruction by transplantation of two second toes

VernacularTitle:双足第二足趾移植再造手指的疗效分析
Author: Geng LUO ; Xianhui GUO ; Hong JIANG ; Yanshan LI ; Guosheng WANG ; Ni YAN ; Ming SHENG
Publication Type:Journal Article
Keywords: Second toe; Transplantation; Finger reconstruction; Microsurgery
From: Chinese Journal of Microsurgery 2010;33(4):287-289
CountryChina
Language:Chinese
Abstract: Objective To study the clinical application of finger reconstruction by transplantation of two second toes and evaluate the postoperative appearance and function regarding the reconstructed hand and donor feet. Methods Defect of fingers were treated by transplantation and reconstruction with a total of 74 cases,including two second toes transplantation for both thumbs in 2 cases,thumb with index finger in 10 cas es, index finger with middle finger in 8 cases and middle finger with ring finger in 17 cases. Results Sevetythree fingers survived except 1 failed. During the follow up examination made from 3 to 36 months, the reconstructed fingers could move, write and dress with ease, pinch forcefully, show good recovery of manual work and the sensation of pain and warmth. Two-point discrimination found to be between 5 to 10 mm. Both donor feet have symmetrical appearance with normal gait and satisfactory motion. Also, no pain was complained.Conclusion Transplantation of two second toes from both feet is a good method to reconstruct defect of multiple fingers, and has little effect on the appearance and motion of feet.