Elective Cross-Hand Transfer With Thumb Transposition: Case Report

Cavadas, Pedro C.; Ibáñez, Javier; Landín, Luis

doi:10.1016/j.jhsa.2008.07.022

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…At final follow-up, our patient had no pain, returned to gainful employment, and performed most of his daily living activities independently, despite a "thumb down" position. Thumb transposition in cross-hand transfer has been reported, 10 and may improve aesthetic results of cross-hand transfer, but the added functional benefits of thumb transposition are unclear.…”

Section: Resultsmentioning

confidence: 99%

Cross-Hand Replantation

Sabapathy

Venkatramani

Ramkumar

et al. 2020

Indian J Plast Surg

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Combined major injury to both upper extremities, in which one hand is amputated and structurally intact but not replantable, and the other hand is unsalvageable, is a rare setting in which cross-hand replantation may be considered. We report a case of an emergency cross-hand replantation performed at the wrist level. In our case, insertions of the wrist flexor and extensor tendons at the second and third metacarpal bases were retained at the recipient, allowing for early active wrist motion and finger motion by tenodesis. Fascicle-specific nerve coaptations were performed. The patient achieved satisfactory functional results, allowing him independence with daily living activities and return to gainful employment. At the time of telemedicine follow-up at 5 years, he was employed full-time, reported no difficulty or mild difficulty with most daily activities, and preferred the use of his replanted hand over a contralateral prosthesis.

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Section: Resultsmentioning

confidence: 99%

Cross-Hand Replantation

Sabapathy

Venkatramani

Ramkumar

et al. 2020

Indian J Plast Surg

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“…Cross-transfer of the right hand to the left distal forearm stump has been reported in a long-standing left radial-carpal amputee who had developed a contralateral cerebrovascular accident with severe right-sided spasticity. In this case, the thumb column of the right hand was transposed to the ulnar side of the hand, which had its shortcomings [ 8 ]. Reagan described a rare case of cross-arm transfer [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Our technique has some similarities with Pedro and colleagues' technique, in which they also perform the cross-hand transfer in two stages. However, their technique was a bit complicated, and the osteotomies were done proximally to the wrist with fixation of the radius and ulna by plates [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Two-Stage Cross-Hand Transfer: A Case Report

Cheema¹,

Khan²,

Ain³

2023

Cureus

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This is a case report of a patient who presented with amputation of all digits of the left hand just distal to the metacarpophalangeal joint level due to a fodder cutter injury one year ago. There was poliomyelitis of the right hand since childhood. The patient was managed at the National Orthopedic Hospital, Bahawalpur, in 2014-2015. The surgery was planned in two stages. In stage 1, only the thumb transfer from the opposite hand was done. Stage 2 was performed three months later, in which the transfer of three digits was done from the opposite hand. Follow-up was done at one month, four months, and one year after surgery. The patient had a good recovery and is able to perform daily activities of life with excellent cosmetic results.

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