Functional Restoration of Bilateral Wrist Level Hand Amputee with Six-Toe Transfers and Three Free Flaps: An Alternative to Hand Allotransplantation or Prosthesis
Introduction Hand amputation at the wrist level is severely disabling, especially when bilateral. It is paramount to restore the hand function to the best possible level for the patient's daily living activities, as well as optimal social and occupational rehabilitation. There are va...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2024-10-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1787870 |
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| author | Rajendra Nehete Anita Nehete Amol Ghalme Abhishek Kulkarni Al Iqyan Fidvi |
| author_facet | Rajendra Nehete Anita Nehete Amol Ghalme Abhishek Kulkarni Al Iqyan Fidvi |
| author_sort | Rajendra Nehete |
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Introduction Hand amputation at the wrist level is severely disabling, especially when bilateral. It is paramount to restore the hand function to the best possible level for the patient's daily living activities, as well as optimal social and occupational rehabilitation. There are various options for restoration of function after amputation at wrist and distal forearm levels including Krukenberg's operation, variations of toe transfers, hand allotransplantation, and prosthesis. Krukenberg's procedure and the reconstruction using toe transfer like Vilkki's procedure or two-toe transfers, restore only the pinch. Hand allotransplantation, although it gives excellent function, has limitations due to the complications of immunosuppression. Functional hand prosthesis, though superior in cosmetic appearance, have again limitations in function, and the cost is prohibitive for most patients in our country. |
| format | Article |
| id | doaj-art-a31c60823c1148ca8b73fbacb660e65f |
| institution | Kabale University |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-a31c60823c1148ca8b73fbacb660e65f2025-08-20T03:38:18ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2024-10-01570534234910.1055/s-0044-1787870Functional Restoration of Bilateral Wrist Level Hand Amputee with Six-Toe Transfers and Three Free Flaps: An Alternative to Hand Allotransplantation or ProsthesisRajendra Nehete0https://orcid.org/0000-0001-7891-0889Anita Nehete1Amol Ghalme2Abhishek Kulkarni3Al Iqyan Fidvi4https://orcid.org/0000-0002-3905-1126Division of Plastic Surgery, Vedant Hospital, Nashik, Maharashtra, IndiaDivision of Plastic Surgery, Vedant Hospital, Nashik, Maharashtra, IndiaDivision of Plastic Surgery, Vedant Hospital, Nashik, Maharashtra, IndiaDivision of Plastic Surgery, Vedant Hospital, Nashik, Maharashtra, IndiaDivision of Plastic Surgery, Vedant Hospital, Nashik, Maharashtra, India Introduction Hand amputation at the wrist level is severely disabling, especially when bilateral. It is paramount to restore the hand function to the best possible level for the patient's daily living activities, as well as optimal social and occupational rehabilitation. There are various options for restoration of function after amputation at wrist and distal forearm levels including Krukenberg's operation, variations of toe transfers, hand allotransplantation, and prosthesis. Krukenberg's procedure and the reconstruction using toe transfer like Vilkki's procedure or two-toe transfers, restore only the pinch. Hand allotransplantation, although it gives excellent function, has limitations due to the complications of immunosuppression. Functional hand prosthesis, though superior in cosmetic appearance, have again limitations in function, and the cost is prohibitive for most patients in our country.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1787870toe transfergreat toecombined second and third toebilateral amputationALT flapTDAP flap |
| spellingShingle | Rajendra Nehete Anita Nehete Amol Ghalme Abhishek Kulkarni Al Iqyan Fidvi Functional Restoration of Bilateral Wrist Level Hand Amputee with Six-Toe Transfers and Three Free Flaps: An Alternative to Hand Allotransplantation or Prosthesis Indian Journal of Plastic Surgery toe transfer great toe combined second and third toe bilateral amputation ALT flap TDAP flap |
| title | Functional Restoration of Bilateral Wrist Level Hand Amputee with Six-Toe Transfers and Three Free Flaps: An Alternative to Hand Allotransplantation or Prosthesis |
| title_full | Functional Restoration of Bilateral Wrist Level Hand Amputee with Six-Toe Transfers and Three Free Flaps: An Alternative to Hand Allotransplantation or Prosthesis |
| title_fullStr | Functional Restoration of Bilateral Wrist Level Hand Amputee with Six-Toe Transfers and Three Free Flaps: An Alternative to Hand Allotransplantation or Prosthesis |
| title_full_unstemmed | Functional Restoration of Bilateral Wrist Level Hand Amputee with Six-Toe Transfers and Three Free Flaps: An Alternative to Hand Allotransplantation or Prosthesis |
| title_short | Functional Restoration of Bilateral Wrist Level Hand Amputee with Six-Toe Transfers and Three Free Flaps: An Alternative to Hand Allotransplantation or Prosthesis |
| title_sort | functional restoration of bilateral wrist level hand amputee with six toe transfers and three free flaps an alternative to hand allotransplantation or prosthesis |
| topic | toe transfer great toe combined second and third toe bilateral amputation ALT flap TDAP flap |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1787870 |
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