- See:
-
Digit Reimplantation / Reconstruction:
-
Thumb Soft Tissue Defects / Amputations:
- Indications: selective thumb reconstruction
- Technique:
- second metatarsal may be removed along with 2nd toe with little
functional impairment;
- toe is taken from contralateral foot to facilitate anastomosis;
- dorsal triangular flap is planned to be about 4.0 cm in length and
2.0 to 2.5 cm across its base at the toe;
- apex of the triangle lies directly over the second metatarsal;
-
extensor hallucis brevis is identified;
- just beneath this muscle, lies dorsalis pedis artery branch;
- dorsalis pedis continues distally as the first dorsal metatarsal artery;
- branch of this vessel to the great toe is severed and ligated
while that to the second toe is carefully preserved;
- anastomosis on the hand is usually in anatomic snuff box or the ulnar
side of the first metacarpal;
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Second toe-to-finger transfer in hand mutilations.
Transplantation of the second toe to the hand. A preliminary report
of
een cases.
