Microsurgical Free Partial Toe Transfer in Hand Reconstruction

Foucher, G.; Merle, M.; Maneaud, M; Michon, Jacques

doi:10.1097/00006534-198005000-00013

Cited by 220 publications

(67 citation statements)

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“…18 Yoshimura et al 19 described the transplantation of multiple small skin flaps perfused individually by separate perforators of the peroneal artery to cover multiple defects of the hand. Lister 20 also demonstrated beautifully the splitting of a lateral arm flap into two flaps, each perfused through interconnecting perforators, to cover an oddshaped defect or two separate defects of the hand.…”

Section: Discussionmentioning

confidence: 99%

Free posterior tibial perforator flap: Anatomy and a report of 6 cases

Hung

Lao

1996

Microsurgery

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Anatomy of cutaneous perforators of the posterior tibial artery were studied in 20 limbs of 10 cadavers. The majority of the perforators (n = 74, 61%) were located in the middle two quarters of the leg, at an average of 18.6 cm (s.d. 4.5 cm; range 10.5-26 cm) from the medial malleolus, or around 54% (s.d 16%) of the length of the leg. There were usually 3 or 4 perforators in this region, with an average caliber of 1.5 mm (s.d. 0.2 mm; range 1-2 m.m.) and an average length from the posterior tibial artery to the skin of 4.0 cm (s.d. 1.3 cm; range 2.5-6 c.m.). A free fasciocutaneous skin flap based on one of these perforators (the posterior tibial perforator flap, PTP flap) was successfully transplanted in 6 cases. This modified technique of the posterior tibial flap enables the surgeon to retain the posterior tibial artery when the skin of the medial aspect of the leg is chosen to be used as skin flap donor.

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Section: Discussionmentioning

confidence: 99%

Free posterior tibial perforator flap: Anatomy and a report of 6 cases

Hung

Lao

1996

Microsurgery

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“…In 1980 Foucher et al 13 introduced the concept of twisted-two-toes, in which the bony framework of the hallux is preserved in situ and the skin of the second toe is wrapped around it. In this way the hallux was preserved in the foot, and some motion was obtained at the IP joint on the transferred toe.…”

Section: Discussionmentioning

confidence: 99%

“…Foucher at al [13][14][15] devised the twisted-two-toes technique, in which some motion at the IP joint is obtained by wrapping the skin of the hallux around the proximal interphalangeal joint of the second toe. The foot donor site is closed by filleting the skin of the second toe, which is wrapped around the bony framework of the great toe.…”

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confidence: 99%

A Technique to Improve Foot Appearance After Trimmed Toe or Hallux Harvesting

Piñal

García-Bernal

Regalado

et al. 2007

The Journal of Hand Surgery

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“…5 The use of other sensory cutaneous flaps and composite tissues for reconstruction in partial absence of 1 or more fingers was published by Foucher and co-workers in 1980. 6 The previous experience with toe-to-hand transfers at the senior author's (T.M.T.) institution was published in 1983, 7 in which 54 toe-to-hand transfers over the 6-year period from 1974 to 1980 were reviewed.…”

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confidence: 99%