Surgery Spotlight: Combined Second and Third Toe Harvest and Transfer for Hand Reconstruction-Surgery Spotlight: Combined Second and Third Toe Harvest and Transfer for Hand Reconstruction

Surgery Spotlight: Combined Second and Third Toe Harvest and Transfer for Hand Reconstruction

Video Transcription

Video Summary

The video details a surgical procedure involving the simultaneous transfer of the second and third toes, which share a single vascular pedicle, to replace missing fingers. Ideal candidates for this procedure are those with two adjacent missing fingers that are not located proximally to the web space, with at least one remaining finger not longer than the little finger. The surgery is streamlined, requiring less time and dissection at donor and recipient sites, with outcomes comparable to traditional digit transfers. The process involves meticulous identification of vascular and nerve structures, crucial for ensuring proper blood flow and sensation post-transplant. The dorsal and plantar incisions are carefully planned to enable effective skin flap and joint transfer. Bone fixation is done using parallel drill holes for stability, allowing some postoperative adjustment. The toes, once fixed, are transferred to restore opposition and grip, with careful consideration of nerve anastomosis to regain sensation.

Asset Caption

This video demonstrates a "Combined Second and Third Toe Harvest and Transfer for Hand Reconstruction." Surgeon Fu Chan Wei, MD and Wee Leon Lam, MD

Source

Neligan, P. C. (Ed.). (2012). Plastic Surgery: 6-Volume, 3^rd Edition. Philadelphia: Saunders.

Disclosure This material is presented thanks to a generous licensing grant from Elsevier, and is taken from Plastic Surgery: 6-Volume Set, 3rd Edition edited by Peter C. Neligan, MD. "Combined Second and Third Toe Harvest and Transfer for Hand Reconstruction" appears in Volume 6: Microsurgical Techniques.

This product is not certified for CME.

Keywords

surgery spotlight

Surgical Videos

Hand

Nerve

Fu Chan Wei MD

Wee Leon Lam MD; Memben

toe transfer

vascular pedicle

missing fingers

nerve anastomosis

bone fixation

surgical procedure