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Toe-to-Hand Transfers

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Plastic and Reconstructive Surgery

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

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Summary

Toe-to-hand transplantation has revolutionized the reconstruction of hands with amputated or absent digits. Although a plethora of different techniques have been described in the literature reporting the transplantation of various combinations, sequences, and components of toes, they generally follow similar principles of harvest and inset and apply replacing like with like tissues. The types of toe transplant that will suffice in many situations are the trimmed great toe (for thumb reconstruction), the second toe variants, and the combined second/ third toe transplantations. Although these provide the focus of this chapter, situations requiring other types of transplant are addressed. In addition, the initial surgical approach to the injured hand (that may or will require toe transplantation), the rehabilitation of the donor site and reconstructed hand, and the judicious use of secondary procedures are all often critical to success and are described.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Chang Gung University and Medical College, Taipei, Taiwan

    Christopher G. Wallace, Yu-Te Lin & Fu-Chan Wei

Authors
  1. Christopher G. Wallace
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  2. Yu-Te Lin
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  3. Fu-Chan Wei
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Editor information

Editors and Affiliations

  1. Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Maria Z. Siemionow (Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training) (Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training)

  2. Department of Plastic and Aesthetic, Hand, and Reconstructive Surgery, Caritas-Krankenhaus St. Josef, affiliated with Regensburg University, Regensburg, Germany

    Marita Eisenmann-Klein (Director) (Director)

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© 2010 Springer-Verlag London Limited

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Wallace, C.G., Lin, YT., Wei, FC. (2010). Toe-to-Hand Transfers. In: Siemionow, M.Z., Eisenmann-Klein, M. (eds) Plastic and Reconstructive Surgery. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84882-513-0_42

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  • DOI: https://doi.org/10.1007/978-1-84882-513-0_42

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-512-3

  • Online ISBN: 978-1-84882-513-0

  • eBook Packages: MedicineMedicine (R0)

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