Advances in Pediatric Toe Transfers - 28/03/24

Doi : 10.1016/j.hcl.2023.10.004

Xiao Fang Shen, MD ^a,^⁎ , Saw Sian Khoo, MBChB ^b
^a Department of Pediatric Orthopaedics, Children’s Hospital of Soochow University, 92 Zhongnan Street, Suzhou Industrial Park, Suzhou, Jiangsu 215025, China
^b National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, Universiti Malaya, 50603 Lembah Pantai, Kuala Lumpur, Malaysia

^∗Corresponding author.

Resumen

Microsurgery is undoubtedly the pinnacle of hand surgery. Significant advancement in recent years has stretched the indications for toe-to-hand transfer in both acquired and congenital hand defects to restore function, esthetics, and motion, with minimal morbidity to the donor site. There is no one fixed microsurgical transfer technique but a surgeon’s versatility and innovation in using what one could spare because each case is unique. Esthetic refinements and reducing donor site morbidities have taken a front seat in recent years. We present a few cases to put forward the senior author’s preferred techniques with this objective in mind.

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Keywords : Toe transfer, Toe-to-hand, Pediatric, Microsurgery, Thumb reconstruction, Digital amputation, Congenital hand differences