RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0041-1735718
Functional Restoration of a Midforearm Level Amputation using the Second Toe Transfer
Abstract
Unilateral midforearm level amputation is a severely debilitating situation. The present solution for this problem is either restoration of function using a prosthetic hand, or a vascularized composite allotransplant (VCA) in some very selected cases. In cases of distal forearm level amputations, even vascularized second toe transfer could be done on the radial side of the hand to achieve good functional restoration. We present a case of midforearm level amputation in which the second toe transfer has been done above the level of insertion of pronator teres muscle to achieve meaningful function. This report highlights the fact that a single toe transfer could be helpful in achieving meaningful prehension, even at this proximal.
Publikationsverlauf
Artikel online veröffentlicht:
13. Oktober 2021
© 2021. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Dominique M, Katarina W. The Vilkki Procedure as an emergency treatment in an apocalyptic hand injury-a case report and first description. Case Reports Plast Surg Hand Surg 2017; 4 (01) 96-98
- 2 Vilkki SK. Toe to antebrachial stump transplantation. Functional results after new grip reconstruction. In: Brunelli G, ed. Textbook of Microsurgery Masson 1988: 329-333
- 3 Vilkki SK. Grip reconstruction with toe to antebrachial stump transfer. In: Landi A, ed. Reconstruction of the Thumb London 1989: 233-241
- 4 Kallio KE. Recent advance in Krukenberg’s operation. Acta Chir Scand 1948; 97: 165-188
- 5 Vilkki SK. [Free toe transfer to the forearm stump following wrist amputation–a current alternative to the Krukenberg operation]. Handchir Mikrochir Plast Chir 1985; 17 (02) 92-97
- 6 Vilkki SK, Kotkansalo T. Present technique and long-term results of toe-to-antebrachial stump transplantation. J Plast Reconstr Aesthet Surg 2007; 60 (07) 835-848
- 7 Borovikov A. Toe-to-hand transfers in the rehabilitation of frostbite injury. Ann Plast Surg 1993; 31 (03) 245-250
- 8 Hettiaratchy S, Butler PE, Lee WP. Lessons from hand transplantations. Lancet 2001; 357 (9255) 494-495
- 9 Michael E, Neil HM, Alastair P. History and ethics of hand transplants. J R Soc Med Sh Rep 2012; 3 (10) 74