Forty-Year Follow-Up After Great Toe–to–Thumb Transfer: A Literature Review

The thumb is a crucial part of the hand, and traumatic thumb amputation is a devastating injury that significantly diminishes hand function. In situations in which replantation is not possible, great toe–to–thumb transfer is a well-established option for reconstruction. Although most studies describ...

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Bibliographic Details
Published in:Journal of hand surgery global online 2023-05, Vol.5 (3), p.375-378
Main Authors: Shaffrey, Ellen C., Moura, Steven P., Attaluri, Pradeep K., Wirth, Peter J., Rao, Venkat K.
Format: Article
Language:English
Subjects:
Case Report
Long-term outcomes
Thumb reconstruction
Toe transplant
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Summary:The thumb is a crucial part of the hand, and traumatic thumb amputation is a devastating injury that significantly diminishes hand function. In situations in which replantation is not possible, great toe–to–thumb transfer is a well-established option for reconstruction. Although most studies describe excellent functional outcomes and patient satisfaction, there is a paucity of literature presenting long-term follow-up to determine whether these outcomes are maintained. In this case report, we present a case of great toe–to–thumb transfer performed 40 years ago and evaluate outcomes using validated questionnaires and standardized examination maneuvers. Our results highlight sustained patient satisfaction and excellent functional outcomes decades after the initial reconstruction.
ISSN:2589-5141
2589-5141
DOI:10.1016/j.jhsg.2023.01.009