A double toe-to-hand transfer in a young girl. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2013]

Author(s):

1. Mohammad Fazlur-Rahman: Department of Plastic, Burns and Hand Surgery, Patel Hospital, Gulshan-e-Iqbal, Karachi, Pakistan

2. Mazhar Nizam: Department of Plastic, Burns and Hand Surgery, Patel Hospital, Gulshan-e-Iqbal, Karachi, Pakistan

Abstract:

A 14 years old girl lost all the fingers of her right hand except the thumb in a Toka (fodder chopping machine) 4 months ago. The fingers had been amputated at the level of the metacarpophalangeal joint. A double toe transfer was done using the second and third toes of her right foot to reconstruct the second and third digits of her right hand using microvascular technique. Bones were fixed with K-wires, corresponding tendons and nerves were attached, the dorsalis pedis artery was anastamosed end-to-side to the radial artery and the vein was anastamosed to the cephalic vein. The patient recovered well. K-wires were removed at 6 weeks and physiotherapy was started. After 4 months, the patient was able to use the hand for normal hand function and could make a tripod pinch.

Page(s): 601-603

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 23, Issue: 8, Year: 2013

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