Symmetry of Vascular Pedicle Anatomy in the First Web Space of the Foot Related to Toe Harvest: Clinical Observations in 85 Simultaneous Bilateral Second-Toe Transfer Patients

Spanio, Stefano; Wei, Fu‐Chan; Coşkunfırat, O. Koray; Lin, Chih‐Hung; Lin, Yu‐Te

doi:10.1097/01.prs.0000156977.13014.37

Cited by 9 publications

(4 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If the arterial system was dorsal dominant, the dorsalis pedis artery was dissected proximally until the required length was obtained. (If a plantar-dominant system was noted, the artery could be dissected continually to the lateroplantar aspect of the first metatarsal shaft until the proximal communicating artery was located (Spanio et al, 2005)). The PDA was then dissected distally to the point located 0.5 cm proximal to the interphalangeal joint where the artery gave off its dorsal branch.…”

Section: Methodsmentioning

confidence: 99%

Does nerve repair influence the outcome of reconstruction of a digital nail defect using a free composite flap taken from the great toe?

Zhang

Chen

et al. 2014

J Hand Surg Eur Vol

View full text Add to dashboard Cite

We describe reconstruction of a nail unit defect in the finger using a free composite flap taken from the great toe, comparing the outcome in patients in whom neurorrhaphy between the dorsal digital nerve of the great toe and the dorsal branch of the proper digital nerve of the injured finger was performed to those in which no nerve repair was made. From January 2002 to March 2009, 47 patients with traumatic fingernail defects were treated. Twenty-two patients before February 2005 had no nerve repair and subsequently 25 patients had nerve repair. The mean size of the germinal matrix and sterile matrix defects was 9 × 8 mm, and the mean size of the nail bed flaps was 9 × 9 mm. The mean length of the arteries used for the flap was 2.2 cm. Outcomes were rated. In the nerve repair group, full flap survival was achieved in 24 patients. At the mean follow-up period of 25 months, there were 12 excellent, seven very good, four good, and two fair results. In the comparison group without nerve repair, there were seven excellent, four very good, four good, five fair, and two poor results. Donor site morbidities were similar in both groups. The use of a free composite flap taken from the great toe is a useful technique for reconstructing nail unit defects in the finger. Innervated nail flap reconstructions tended to show better outcomes than those in which no nerve repair was performed. There is no difference in function or donor site between those in whom the nerve was repaired compared with those in whom it was not repaired.

show abstract

Section: Methodsmentioning

confidence: 99%

Does nerve repair influence the outcome of reconstruction of a digital nail defect using a free composite flap taken from the great toe?

Zhang

Chen

et al. 2014

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…If the plantar-dominant system was noted, the artery could be dissected continually to the middle aspect of the metatarsal shaft until the proximal communicating artery was located. 11 Thus, we obtained the maximal length of the first proper dorsal metatarsal artery. Additional length could be obtained by vein grafting.…”

Section: Surgical Techniquementioning

confidence: 99%

Reconstruction of Distally Degloved Fingers With a Cross-Finger Flap and a Composite-Free Flap From the Dorsum of the Second Toe

Wang

Jiang

et al. 2012

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…Consequently, the diameter or anatomical location of the first dorsal metatarsal artery is no longer the main causative factor of the circulatory crisis resulting in flap failure. Such situations are reversible and can be solved by careful preoperative assessment, using refined microsurgical suture techniques, and retrograde dissection of the first dorsal metatarsal artery (Spanio et al, 2005. Iatrogenic trauma of the vessel during dissection or drilling may cause vessel spasm or late thrombosis.…”

Section: Complications Of Toe-to-thumb Transfermentioning

confidence: 99%

Microsurgical thumb repair and reconstruction

Adani¹,

Woo²

2017

J Hand Surg Eur Vol

View full text Add to dashboard Cite

In this article, we review microsurgical reconstructive techniques available to treat thumb amputation at different levels based on our experience. We reference techniques used by other surgeons and identify the most suitable technique for different clinical situations. Indications and techniques for microsurgical partial or composite transfer of the great or second toe for thumb reconstruction are summarized. Different microsurgical transfer techniques suggest a great freedom of surgical choices. However, the choices are considerably restricted if all functional and cosmetic requirements are to be met. We recommend individualized surgical design and reconstruction because each case of thumb amputation is unique.

show abstract

Symmetry of Vascular Pedicle Anatomy in the First Web Space of the Foot Related to Toe Harvest: Clinical Observations in 85 Simultaneous Bilateral Second-Toe Transfer Patients

Cited by 9 publications

References 16 publications

Does nerve repair influence the outcome of reconstruction of a digital nail defect using a free composite flap taken from the great toe?

Does nerve repair influence the outcome of reconstruction of a digital nail defect using a free composite flap taken from the great toe?

Reconstruction of Distally Degloved Fingers With a Cross-Finger Flap and a Composite-Free Flap From the Dorsum of the Second Toe

Microsurgical thumb repair and reconstruction

Contact Info

Product

Resources

About