Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: “Spare Part Surgery” Concept Revisited

Utilization of tissues from the amputated part to cover critical structures or enhance function in another area is a valuable technique in reconstructive surgery. For this “spare part surgery” to occur high level of awareness is to be present among surgeons who perform the primary procedure. We are...

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Main Authors: S Raja Sabapathy, Hari Venkatramani, Madhu Periasamy, Aditya Narasimhan, Monusha Mohan, Vamseedharan Muthukumar
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd.
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1810110
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author S Raja Sabapathy
Hari Venkatramani
Madhu Periasamy
Aditya Narasimhan
Monusha Mohan
Vamseedharan Muthukumar
author_facet S Raja Sabapathy
Hari Venkatramani
Madhu Periasamy
Aditya Narasimhan
Monusha Mohan
Vamseedharan Muthukumar
author_sort S Raja Sabapathy
collection DOAJ
description Utilization of tissues from the amputated part to cover critical structures or enhance function in another area is a valuable technique in reconstructive surgery. For this “spare part surgery” to occur high level of awareness is to be present among surgeons who perform the primary procedure. We are presenting a case wherein the great toe was harvested for thumb reconstruction in a patient who had a nonsalvageable lower limb injury with a crush injury of the hand with amputation of multiple fingers including the thumb. The patient on follow-up is using his reconstructed thumb for all his activities including for wearing the lower limb prosthesis. Harvesting the toe from the to be amputated part has the advantages of harvesting more skin, longer length of tendons, vessels, and nerves since there is no need for donor site closure or any concern for donor site morbidity.
format Article
id doaj-art-522f7d3254b64e9aa29391bfaed72d74
institution Kabale University
issn 0970-0358
1998-376X
language English
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-522f7d3254b64e9aa29391bfaed72d742025-08-20T03:59:25ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X10.1055/s-0045-1810110Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: “Spare Part Surgery” Concept RevisitedS Raja Sabapathy0Hari Venkatramani1Madhu Periasamy2Aditya Narasimhan3Monusha Mohan4Vamseedharan Muthukumar5https://orcid.org/0000-0002-8355-1005Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaUtilization of tissues from the amputated part to cover critical structures or enhance function in another area is a valuable technique in reconstructive surgery. For this “spare part surgery” to occur high level of awareness is to be present among surgeons who perform the primary procedure. We are presenting a case wherein the great toe was harvested for thumb reconstruction in a patient who had a nonsalvageable lower limb injury with a crush injury of the hand with amputation of multiple fingers including the thumb. The patient on follow-up is using his reconstructed thumb for all his activities including for wearing the lower limb prosthesis. Harvesting the toe from the to be amputated part has the advantages of harvesting more skin, longer length of tendons, vessels, and nerves since there is no need for donor site closure or any concern for donor site morbidity.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1810110toe transferthumb reconstructionspare part surgery
spellingShingle S Raja Sabapathy
Hari Venkatramani
Madhu Periasamy
Aditya Narasimhan
Monusha Mohan
Vamseedharan Muthukumar
Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: “Spare Part Surgery” Concept Revisited
Indian Journal of Plastic Surgery
toe transfer
thumb reconstruction
spare part surgery
title Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: “Spare Part Surgery” Concept Revisited
title_full Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: “Spare Part Surgery” Concept Revisited
title_fullStr Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: “Spare Part Surgery” Concept Revisited
title_full_unstemmed Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: “Spare Part Surgery” Concept Revisited
title_short Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: “Spare Part Surgery” Concept Revisited
title_sort reconstruction of an amputated thumb by great toe harvested from a simultaneously amputated lower limb spare part surgery concept revisited
topic toe transfer
thumb reconstruction
spare part surgery
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1810110
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