Composite toe (phalanx and epiphysis) transfers in the reconstruction of the aphalangic hand.

@article{Goldberg1982CompositeT,
  title={Composite toe (phalanx and epiphysis) transfers in the reconstruction of the aphalangic hand.},
  author={Nelson H. Goldberg and Harry K. Watson},
  journal={The Journal of hand surgery},
  year={1982},
  volume={7 5},
  pages={454-9}
}
Twenty children with ectrodactyly have had 36 digits reconstructed with toe phalanges inserted into the existing soft tissue finger pouches or pouches constructed with local tissue. Care is taken to preserve the periosteum, epiphyseal plate, and collateral ligaments of the transfers. No surgical microvascular anastomoses are performed, and the entire procedure takes less than 30 minutes. Epiphyseal patency rates in children with a mean follow-up of 3.4 years and a median of 4 years are 90% for… CONTINUE READING