Reconstruction of the thumb with a trimmed-toe transfer technique |
| |
Authors: | F C Wei H C Chen C C Chuang M S Noordhoff |
| |
Affiliation: | Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan. |
| |
Abstract: | The trimmed-toe transfer is a new modification of the existing great-toe transfer technique for thumb reconstruction. This procedure was devised to circumvent patient concerns regarding overly large reconstructed digits following total great-toe-to-hand transfer. This technique involves reduction of both the bony and soft-tissue elements along the medial aspect of the transferred great toe in order to produce a more normal sized thumb. Follow-up of the initial 20 patients from 1983 to 1986 demonstrates good stability, grip strength, and pinch strength. Although compared with total great-toe transfer a modest reduction in joint motion of trimmed toes has been observed, the overall appearance and usefulness of the reconstructed thumbs have been excellent. |
| |
Keywords: | |
|
|