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CC BY-NC-ND 4.0 · Indian J Plast Surg 2012; 45(01): 154-157
DOI: 10.4103/0970-0358.96609
Case Report
Association of Plastic Surgeons of India

Bilateral microvascular second toe transfer for bilateral post-traumatic thumb amputation

Rajendra Nehete
Department of Plastic Surgery, Vedant (Nehete) Hospital, Nashik, Maharashtra, India
,
Anita Nehete
Department of Anaesthesiology, Vedant (Nehete) Hospital, Nashik, Maharashtra, India
,
Sandeep Singla
Department of Plastic Surgery, Vedant (Nehete) Hospital, Nashik, Maharashtra, India
,
Harshad Adhav
Department of Orthopaedics, Vedant (Nehete) Hospital, Nashik, Maharashtra, India
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Publication History

Publication Date:
31 December 2019 (online)

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ABSTRACT

In bilateral thumb amputations, the functional impairment is serious and every attempt should be made to reconstruct the thumb. We report a case of bilateral post traumatic thumb amputation, reconstructed with bilateral second toe transfer. Only two such cases have been reported in literature so far. Though there are various modalities for the reconstruction of thumb, microvascular toe transfer has its own merits. The convalescent period is minimal with excellent function. It is bilaterally symmetric and aesthetically superior to the osteoplastic reconstruction. The technical details are discussed, and the long term functional and aesthetic results are presented.

KEY WORDS

Microvascular transfer - second toe - thumb amputation
 
  • 1 Chung KC, Wei FC. An outcome study of thumb reconstruction using microvascular toe transfer. J Hand Surg Am 2000;25:651-8.
  • 2 Xu L, Gu YD, Xu JG, Rui YJ, Shou KS. Microsurgical treatment for bilateral thumb defect. Five case reports. Microsurgery 2003;23:547-54.
  • 3 Vedder NB, Master BM. Thumb Reconstruction; Microvascular Methods. In: Mathes SJ, Hentz VR, eds. Plastic Surgery. 2 nd ed. Philadelphia: Elsevier; 2006. p. 253-80.
  • 4 Sabapathy SR, Venkatramani H, Bharathi RR. Functional evaluation of great toe transfer and the osteoplastic technique for thumb reconstruction in the same individual. J Hand Surg Br 2003;28:405-8.
  • 5 Gu YD, Zhang GM, Chen DS, Cheng XM, Xu JG, Wang H. Vascular anatomic variations in second toe transfers. J Hand Surg Am 2000;25:277-81.
  • 6 Leung PC, Wong WL. The vessels of the first metatarsal web space. An operative and radiographic study. J Bone Joint Surg Am 1983;65:235-8.
  • 7 Kotkansalo T, Vilkki S, Elo P, Luukkaala T. Long-term functional results of microvascular toe-to-thumb reconstruction. J Hand Surg Eur 2011;36:194-204.
  • 8 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;113:882-92.