Elective cross-over transfer of the foot: Case report

Cavadas, Pedro C.; Thioné, Alessandro; Landín, Luis

doi:10.1016/j.bjps.2010.02.023

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…[77][78][79] Crossover implantation can also be considered in patients with bilateral amputations, with the goal of salvaging at least one extremity. [80][81][82] Amputation versus Limb Salvage in the Diabetic Population…”

Section: Replantationmentioning

confidence: 99%

Amputations versus Salvage: Reconciling the Differences

Black

Ormiston

Fan

et al. 2019

J Reconstr Microsurg

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Background There are many factors to consider when choosing between amputations versus salvage in lower extremity reconstructive surgery. Postoperative functionality and survival benefit are critical factors when deciding between limb salvage and amputation. Methods In this review, we present the evidence and the risks and benefits between these two options in the setting of the acute, trauma population and the chronic, diabetes population. Results The trauma population is on average young without significant comorbidities and with robust vasculature and core strength for recovery. Therefore, these patients can often recover significant function with anamputation and prosthesis. Amputation can therefore be the more desirable in this patient population, especially in the case of complete traumatic disruption, unstable patients, high risk of extensive infection, and significant nerve injury. However, traumatic lower extremity reconstruction is also a viable option, especially in the case of young patients and those with intact plantar sensation and sufficient available tissue coverage. The diabetic population with lower extremity insult has on average a higher comorbidity profile and often lower core strength. These patients therefore often benefit most from reconstruction to preserve limb length and improve survival. However, amputation may be favored for diabetics that have no blood flow to the lower extremity, recalcitrant infection, high-risk comorbidities that preclude multiple operations, and those with end stage renal disease. Conclusion Many patient-specific factors should be considered when deciding between amputation vs. salvage in the lower extremity reconstruction population.

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Section: Replantationmentioning

confidence: 99%

Amputations versus Salvage: Reconciling the Differences

Black

Ormiston

Fan

et al. 2019

J Reconstr Microsurg

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“…Reagan described a rare case of cross-arm transfer [ 9 ]. Cross-transfer has been described for the foot as well, where elective cross-transfer of the left foot was done to the right distal tibial stump after a right Syme amputation [ 10 ]. These unfortunate situations are very rare, and few case reports of cross-hand transplantation have been documented.…”

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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