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

@article{Cheng1998SingleVD,
  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},
  year={1998},
  volume={102},
  pages={2408–2412}
}
&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… 
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TLDR
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.
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TLDR
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.
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TLDR
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
TLDR
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.
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TLDR
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.
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TLDR
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.
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TLDR
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.
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