Functional outcomes of post-traumatic metacarpal hand reconstruction with free toe-to-hand transfer
Introduction: We present the functional outcomes of microvascular toe transfer to reconstruct the post-traumatic metacarpal hand deformity. Twelve toe transfers were successfully carried out in 11 patients. Materials and Methods: In each patient, the level of injury was classified according to the W...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2016-01-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.182232 |
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| author | Hari Venkatramani Praveen Bhardwaj Adam Sierakowski S. Raja Sabapathy |
| author_facet | Hari Venkatramani Praveen Bhardwaj Adam Sierakowski S. Raja Sabapathy |
| author_sort | Hari Venkatramani |
| collection | DOAJ |
| description | Introduction: We present the functional outcomes of microvascular toe transfer to reconstruct the post-traumatic metacarpal hand deformity. Twelve toe transfers were successfully carried out in 11 patients. Materials and Methods: In each patient, the level of injury was classified according to the Wei classification system. Functional outcome was measured in seven patients using the Tamai score. Additional objective tests of function were carried out in three patients, including the Jebsen test, grip strength, pinch strength, web opening, static and moving two-point discrimination and Semmes–Weinstein monofilament testing. Observation and Results: The average Tamai score was 69 (range 60–83.5). Six patients achieved 'good' outcomes and one patient, with a double toe transfer, an 'excellent' outcome. The average follow-up time was 43 months (range 10–148 months). Conclusion: This study shows how even a single toe transfer can restore useful function to a hand that has otherwise lost all prehensile ability. |
| format | Article |
| id | doaj-art-d06fe35ec9be4176a9019d3395e94e14 |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-d06fe35ec9be4176a9019d3395e94e142025-08-20T03:19:43ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2016-01-014901162510.4103/0970-0358.182232Functional outcomes of post-traumatic metacarpal hand reconstruction with free toe-to-hand transferHari Venkatramani0Praveen Bhardwaj1Adam Sierakowski2S. Raja Sabapathy3Department of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery and Burns, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaIntroduction: We present the functional outcomes of microvascular toe transfer to reconstruct the post-traumatic metacarpal hand deformity. Twelve toe transfers were successfully carried out in 11 patients. Materials and Methods: In each patient, the level of injury was classified according to the Wei classification system. Functional outcome was measured in seven patients using the Tamai score. Additional objective tests of function were carried out in three patients, including the Jebsen test, grip strength, pinch strength, web opening, static and moving two-point discrimination and Semmes–Weinstein monofilament testing. Observation and Results: The average Tamai score was 69 (range 60–83.5). Six patients achieved 'good' outcomes and one patient, with a double toe transfer, an 'excellent' outcome. The average follow-up time was 43 months (range 10–148 months). Conclusion: This study shows how even a single toe transfer can restore useful function to a hand that has otherwise lost all prehensile ability.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.182232functional outcomemetacarpal handmicrosurgeryreconstructiontoe transfer |
| spellingShingle | Hari Venkatramani Praveen Bhardwaj Adam Sierakowski S. Raja Sabapathy Functional outcomes of post-traumatic metacarpal hand reconstruction with free toe-to-hand transfer Indian Journal of Plastic Surgery functional outcome metacarpal hand microsurgery reconstruction toe transfer |
| title | Functional outcomes of post-traumatic metacarpal hand reconstruction with free toe-to-hand transfer |
| title_full | Functional outcomes of post-traumatic metacarpal hand reconstruction with free toe-to-hand transfer |
| title_fullStr | Functional outcomes of post-traumatic metacarpal hand reconstruction with free toe-to-hand transfer |
| title_full_unstemmed | Functional outcomes of post-traumatic metacarpal hand reconstruction with free toe-to-hand transfer |
| title_short | Functional outcomes of post-traumatic metacarpal hand reconstruction with free toe-to-hand transfer |
| title_sort | functional outcomes of post traumatic metacarpal hand reconstruction with free toe to hand transfer |
| topic | functional outcome metacarpal hand microsurgery reconstruction toe transfer |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.182232 |
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