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Toe-to-Hand Transplantation After Failed Replantation

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Extremity Replantation

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Abstract

Toe-to-hand microsurgical transplantation has 97–98 % success rate. It is the only reconstructive surgical procedure that reconstructs “like with like” with minimal donor site morbidity. In traumatic settings, toe-to-hand transfer is as safe and reliable as secondary toe-to-hand transplantation. Success of primary toe-to-hand surgery after hand trauma, however, depends on critical patient selection, adequate planning, and meticulous execution of the surgical procedure. The trauma surgeon should always have this procedure as a backup plan when dealing with digits injury. After all, flawless perioperative work-up is the only way to satisfactory results.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan

    Nidal F. ALDeek MSc, MD

  2. Department of Plastic Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan

    Fu-Chan Wei MD

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  1. Nidal F. ALDeek MSc, MD
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  2. Fu-Chan Wei MD
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Correspondence to Fu-Chan Wei MD .

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Editors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    A. Neil Salyapongse

  2. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Samuel O. Poore

  3. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Ahmed M. Afifi

  4. Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Michael L. Bentz

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ALDeek, N.F., Wei, FC. (2015). Toe-to-Hand Transplantation After Failed Replantation. In: Salyapongse, A., Poore, S., Afifi, A., Bentz, M. (eds) Extremity Replantation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7516-4_9

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