Single versus Double Arterial Anastomoses in Combined Second‐ and Third‐Toe Transplantation

  title={Single versus Double Arterial Anastomoses in Combined Second‐ and Third‐Toe Transplantation},
  author={Ming-Huei Cheng and Fu-Chan Wei and Eric Santamaria and S L Cheng and C. H. Lin and S H Chen},
  journal={Plastic and Reconstructive Surgery},
&NA; Combined second and third toe transplantation is one good option for reconstruction of multiple digit amputation. However, the use of one or two arteries for pedicle anastomoses, which may influence the vascular complication and success rate, has never been addressed in the literature. This study includes a retrospective review of 57 combined second and third toe transplantation in 54 patients performed from February of 1983 through December of 1996. Group I, composed of 41… 
Toe-to-Hand Transplantation After Failed Replantation
Toe-to-hand microsurgical transplantation has 97–98 % success rate. It is the only reconstructive surgical procedure that reconstructs “like with like” with minimal donor site morbidity. In traumatic
Multiple toe transfer and sensory free flap use after a traumatic amputation of multiple digits. Surgery done in a single setting: A case study
This case presents the case of a patient who had a left hand skin avulsion of the whole palm and P1 of index, long, ring and small fingers and the procedure optimized the patient's outcome during a single setting, making it an ideal choice in an emergency setting.
Toe-to-hand transplantation.
Metacarpal-Like Hand: Classification and Treatment Guidelines for Microsurgical Reconstruction with Toe Transplantation
The goal is to use the reliable techniques of toe-to-hand surgery to reconstruct more opposable units, at least two fingers, whether adjacent to each other or not, and the thumb, when needed, to achieve a functionally and aesthetically better hand instead of a functionally adequate hand.
Severe mutilating injuries to the hand: guidelines for organizing the chaos.
  • F. del Piñal
  • Medicine
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS
  • 2007
Understanding the goal to be sought: the 'acceptable hand' (one with three fingers, with near normal length, near normal sensation and a functioning thumb), is hoped to be of great help in primary care.


Reconstruction of four damaged or destroyed ipsilateral fingers with free toe-to-hand transplantations.
While reconstruction of the thumb and two opposing digits is adequate in most cases, selected patients may benefit from the additional two digits, especially with respect to improving hook grip.
Simultaneous multiple toe transfers in hand reconstruction.
Simultaneous multiple toe transfer in hand reconstruction is feasible without increased complications both in primary and secondary wound conditions, and it is time-effective and cost-effective.
The dorsal approach in harvesting the second toe.
Close approximation of the first and third toe of the donor foot not only improves the overall appearance of the foot, but also avoids a possible hallux valgus deformity as a postoperative complication.
Functional and esthetic reconstruction of a mutilated hand using multiple toe transfers and iliac osteocutaneous flap: A case report
This case report demonstrates the approach to reconstruction of a mutilated hand using a pedicle groin flap for soft tissue reconstruction of the first web space and the amputation stump of the thumb; a combined second and third toe transfer for reconstruction of opposable fingers at the amputated index and middle finger stumps.
Retrograde dissection of the vascular pedicle in toe harvest.
In cases where a lengthy pedicle is not required, retrograde dissection dispenses with harvest of a proximal vessel, which will not be needed for the transfer, and destructive dissection of the foot can be minimized.
2nd & 3rd toe transplantation to a transmetacarpal amputated hand.
A method of using combined 2nd and 3rd toe transfer as one stage procedure for reconstruction of transmetacarpal amputation of the hand to restore chuck pinch and power grip is described.
During operation, special attention should be paid to the exact design of incision, retrograde dissection of the metatarsal artery, tight extensor repair and longitudinal K-wire, to prevent clawing and wound closure before vascular anastomosis.