Reconstruction of digit planer injuries using component transfer of double second toes: A case report.

MedStar author(s):
Citation: Microsurgery. 39(4):364-368, 2019 May.PMID: 30666690Institution: Curtis National Hand CenterForm of publication: Journal ArticleMedline article type(s): Case ReportsSubject headings: *Amputation, Traumatic/su [Surgery] | *Finger Injuries/su [Surgery] | *Reconstructive Surgical Procedures/mt [Methods] | *Toes/tr [Transplantation] | *Vascularized Composite Allotransplantation/mt [Methods] | Acellular Dermis | Bone Transplantation/mt [Methods] | Follow-Up Studies | Hand Strength/ph [Physiology] | Humans | Male | Motor Skills/ph [Physiology] | Young AdultYear: 2019Local holdings: Available online from MWHC library: 1996 - 2002ISSN:
  • 0738-1085
Abstract: Copyright (c) 2018 Wiley Periodicals, Inc.The purpose of this report is to show that customized component second-toe transfers may improve functional and aesthetic outcomes following bone, soft tissue, and joint destruction of traumatically injured digits. A 22-year-old male sustained a planer injury resulting in loss of the distal volar soft tissues of the middle, ring, and small fingers, along with variable destruction of middle phalanges and distal interphalangeal joints. Simultaneous vascularized second-toe transfers were performed with customized joint and pulp reconstruction of middle and small fingers. The ring finger was salvaged using non-vascularized autologous bone graft and acellular dermal matrix. The patient had an uncomplicated postoperative course. Five-year strength, sensory and patient reported outcomes represent overall satisfactory results. Strength testing revealed the injured hand to perform within 90% strength of the uninjured side. Sensory outcomes showed present but diminished sensory perception in each of the injured digits. The patient's upper extremity function, physical health, quality of life, and foot health were overall acceptable, and he returned to using his hand for typing, writing, weight-lifting, and woodworking.Fiscal year: FY2019Date added to catalog: 2019-01-28
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 30666690 Available 30666690

Available online from MWHC library: 1996 - 2002

Copyright (c) 2018 Wiley Periodicals, Inc.

The purpose of this report is to show that customized component second-toe transfers may improve functional and aesthetic outcomes following bone, soft tissue, and joint destruction of traumatically injured digits. A 22-year-old male sustained a planer injury resulting in loss of the distal volar soft tissues of the middle, ring, and small fingers, along with variable destruction of middle phalanges and distal interphalangeal joints. Simultaneous vascularized second-toe transfers were performed with customized joint and pulp reconstruction of middle and small fingers. The ring finger was salvaged using non-vascularized autologous bone graft and acellular dermal matrix. The patient had an uncomplicated postoperative course. Five-year strength, sensory and patient reported outcomes represent overall satisfactory results. Strength testing revealed the injured hand to perform within 90% strength of the uninjured side. Sensory outcomes showed present but diminished sensory perception in each of the injured digits. The patient's upper extremity function, physical health, quality of life, and foot health were overall acceptable, and he returned to using his hand for typing, writing, weight-lifting, and woodworking.

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