RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0045-1810110
Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: “Spare Part Surgery” Concept Revisited
Funding None.
Abstract
Utilization of tissues from the amputated part to cover critical structures or enhance function in another area is a valuable technique in reconstructive surgery. For this “spare part surgery” to occur high level of awareness is to be present among surgeons who perform the primary procedure. We are presenting a case wherein the great toe was harvested for thumb reconstruction in a patient who had a nonsalvageable lower limb injury with a crush injury of the hand with amputation of multiple fingers including the thumb. The patient on follow-up is using his reconstructed thumb for all his activities including for wearing the lower limb prosthesis. Harvesting the toe from the to be amputated part has the advantages of harvesting more skin, longer length of tendons, vessels, and nerves since there is no need for donor site closure or any concern for donor site morbidity.
Authors' Contributions
All authors were involved in the clinical care of this patient, the design and conception of this paper, and the writing and revising process
Patients' Consent
Informed consent was obtained from all the participants of the study.
Ethical Approval
This study was exempt from institutional board review per our institutional policy on small case reports. Our study was performed in accordance with and conforming to the Declaration of Helsinki.
Publikationsverlauf
Artikel online veröffentlicht:
06. August 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Flatt AE. Our thumbs. Proc Bayl Univ Med Cent 2002; 15 (04) 380-387
- 2 Sabapathy SR, Venkatramani H, Bhardwaj P, Mohan M, Varadharajan V. Toe transfers in mutilated hands: technical considerations to get good outcomes. J Hand Surg Glob Online 2024; 7 (02) 362-367
- 3 Waljee JF, Chung KC. Toe-to-hand transfer: evolving indications and relevant outcomes. J Hand Surg Am 2013; 38 (07) 1431-1434
- 4 Georgescu AV, Battiston B, Matei IR. et al. Emergency toe-to-hand transfer for post-traumatic finger reconstruction: a multicenter case series. Injury 2019; 50 (Suppl. 05) S88-S94
- 5 Yim KK, Wei FC, Lin CH. A comparison between primary and secondary toe-to-hand transplantation. Plast Reconstr Surg 2004; 114 (01) 107-112
- 6 Woo SH, Kim JS, Seul JH. Immediate toe-to-hand transfer in acute hand injuries: overall results, compared with results for elective cases. Plast Reconstr Surg 2004; 113 (03) 882-892
- 7 Ornelli M, Ruocco G, Kaciulyte J, Lazzaro L, Felici N. Immediate vs. delayed toe-to-thumb transfer: is the infection rate greater?. Handchir Mikrochir Plast Chir 2019; 51 (06) 434-439
- 8 Venkatramani H, Patel SK, Mohan M, Muthukumar V, Sabapathy SR. Emergency foot fillet free flap based on posterior tibial vessels for reconstruction of contralateral heel and sole: a unique spare part surgery. J Hand Microsurg 2024; 16 (01) 100004
- 9 Sabapathy SR, Venkatramani H, Mohan M, Zhang D. Reconstruction of a monodactylous hand with microsurgical free foot-to-hand transfer in split-hand/split-foot malformation with tibial aplasia. Plast Reconstr Surg Glob Open 2020; 8 (02) e2614
- 10 Gillies H, Millard DR. The Principles and Art of Plastic Surgery. 1st ed.. Boston: Little, Brown and Company; 1957: 48-54