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Published in: International Orthopaedics 4/2011

01-04-2011 | Original Paper

Functional and aesthetic results of immediate reconstruction of traumatic thumb defects by toe-to-thumb transplantation

Authors: Dong Huang, Hong-Gang Wang, Wei-Zhi Wu, Hui-Ru Zhang, Hao Lin

Published in: International Orthopaedics | Issue 4/2011

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Abstract

Traumatic thumb defects significantly affect the function and appearance of the hand; thus, thumb reconstruction is very important in clinical practice. In our report, three reconstruction strategies of toe-to-thumb transplantation, based on the amputation level of the thumb, were used for immediate thumb reconstruction in 27 patients with traumatic thumb defects. All procedures were performed successfully. Patients were satisfied with the function and appearance of the reconstructed thumb. These results indicate that if the reconstruction method is properly selected based on the amputation level of the thumb, toe-to-thumb transplantation is feasible for the immediate reconstruction of the thumb.
Literature
1.
go back to reference Muzaffar AR, Chao JJ, Friedrich JB (2005) Posttraumatic thumb reconstruction. Plast Reconstr Surg 116:103e–122ePubMedCrossRef Muzaffar AR, Chao JJ, Friedrich JB (2005) Posttraumatic thumb reconstruction. Plast Reconstr Surg 116:103e–122ePubMedCrossRef
2.
go back to reference Emerson ET, Krizek TJ, Greenwald DP (1996) Anatomy, physiology, and functional restoration of the thumb. Ann Plast Surg 36:180–191PubMedCrossRef Emerson ET, Krizek TJ, Greenwald DP (1996) Anatomy, physiology, and functional restoration of the thumb. Ann Plast Surg 36:180–191PubMedCrossRef
3.
go back to reference Wei FC, el-Gammal TA (1996) Toe-to-hand transfer. Current concepts, techniques, and research. Clin Plast Surg 23:103–116PubMed Wei FC, el-Gammal TA (1996) Toe-to-hand transfer. Current concepts, techniques, and research. Clin Plast Surg 23:103–116PubMed
4.
go back to reference Woo SH, Kim JS, Seul JH (2004) Immediate toe-to-hand transfer in acute hand injuries: overall results, compared with results for elective cases. Plast Reconstr Surg 113:882–892PubMedCrossRef Woo SH, Kim JS, Seul JH (2004) Immediate toe-to-hand transfer in acute hand injuries: overall results, compared with results for elective cases. Plast Reconstr Surg 113:882–892PubMedCrossRef
5.
go back to reference Ray EC, Sherman R, Stevanovic M (2009) Immediate reconstruction of a nonreplantable thumb amputation by great toe transfer. Plast Reconstr Surg 123:259–267PubMedCrossRef Ray EC, Sherman R, Stevanovic M (2009) Immediate reconstruction of a nonreplantable thumb amputation by great toe transfer. Plast Reconstr Surg 123:259–267PubMedCrossRef
6.
go back to reference Woo SH, Lee GJ, Kim KC et al (2006) Immediate partial great toe transfer for the reconstruction of composite defects of the distal thumb. Plast Reconstr Surg 117:1906–1915PubMedCrossRef Woo SH, Lee GJ, Kim KC et al (2006) Immediate partial great toe transfer for the reconstruction of composite defects of the distal thumb. Plast Reconstr Surg 117:1906–1915PubMedCrossRef
7.
go back to reference Bervar M (2004) Immediate traumatic thumb loss reconstruction: case reports. Acta Chir Plast 46:3–7PubMed Bervar M (2004) Immediate traumatic thumb loss reconstruction: case reports. Acta Chir Plast 46:3–7PubMed
8.
go back to reference Cheng G, Fang G, Hou S et al (2007) Aesthetic reconstruction of thumb or finger partial defect with trimmed toe-flap transfer. Microsurgery 27:74–83PubMedCrossRef Cheng G, Fang G, Hou S et al (2007) Aesthetic reconstruction of thumb or finger partial defect with trimmed toe-flap transfer. Microsurgery 27:74–83PubMedCrossRef
9.
go back to reference May JW Jr (1981) Aesthetic and functional thumb reconstruction: great toe to hand transfer. Clin Plast Surg 8:357–362PubMed May JW Jr (1981) Aesthetic and functional thumb reconstruction: great toe to hand transfer. Clin Plast Surg 8:357–362PubMed
10.
go back to reference Zhang J, Xie Z, Lei Y et al (2008) Free second toe one-stage-plasty and transfer for thumb or finger reconstruction. Microsurgery 28:25–31PubMedCrossRef Zhang J, Xie Z, Lei Y et al (2008) Free second toe one-stage-plasty and transfer for thumb or finger reconstruction. Microsurgery 28:25–31PubMedCrossRef
11.
go back to reference Cong HB, Chang SM, Qiao YP et al (2007) One-stage reconstruction of complicated thumb injury with combination of microsurgical transplantations. Microsurgery 27:181–186PubMedCrossRef Cong HB, Chang SM, Qiao YP et al (2007) One-stage reconstruction of complicated thumb injury with combination of microsurgical transplantations. Microsurgery 27:181–186PubMedCrossRef
12.
go back to reference Rosson GD, Buncke GM, Buncke HJ (2008) Great toe transplant versus thumb replant for isolated thumb amputation: critical analysis of functional outcome. Microsurgery 28:598–605PubMedCrossRef Rosson GD, Buncke GM, Buncke HJ (2008) Great toe transplant versus thumb replant for isolated thumb amputation: critical analysis of functional outcome. Microsurgery 28:598–605PubMedCrossRef
13.
go back to reference Littler JW (1953) The neurovascular pedicle method of digital transposition for reconstruction of the thumb. Plast Reconstr Surg 12:303–319CrossRef Littler JW (1953) The neurovascular pedicle method of digital transposition for reconstruction of the thumb. Plast Reconstr Surg 12:303–319CrossRef
14.
go back to reference Moy OJ, Peimer CA, Sherwin FS (1992) Reconstruction of traumatic or congenital amputation of the thumb by distraction-lengthening. Hand Clin 8:57–62PubMed Moy OJ, Peimer CA, Sherwin FS (1992) Reconstruction of traumatic or congenital amputation of the thumb by distraction-lengthening. Hand Clin 8:57–62PubMed
15.
go back to reference Bravo CJ, Horton T, Moran SL, Shin AY (2008) Traumatized index finger pollicization for thumb reconstruction. J Hand Surg 33:257–262CrossRef Bravo CJ, Horton T, Moran SL, Shin AY (2008) Traumatized index finger pollicization for thumb reconstruction. J Hand Surg 33:257–262CrossRef
17.
go back to reference Yim KK, Wei FC, Lin CH (2004) A comparison between primary and secondary toe-to-hand transplantation. Plast Reconstr Surg 114:107–112PubMedCrossRef Yim KK, Wei FC, Lin CH (2004) A comparison between primary and secondary toe-to-hand transplantation. Plast Reconstr Surg 114:107–112PubMedCrossRef
Metadata
Title
Functional and aesthetic results of immediate reconstruction of traumatic thumb defects by toe-to-thumb transplantation
Authors
Dong Huang
Hong-Gang Wang
Wei-Zhi Wu
Hui-Ru Zhang
Hao Lin
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-1044-2

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