Second toe to thumb transfer with extensor digitorum brevis opponensplasty

A second toe to hand transfer is described for thumb reconstruction which includes the extensor digitorum brevis as a simultaneous opponensplasty. This procedure was effective in a young man injured in a bomb explosion that completely destroyed the first ray. The second toe was dissected in continui...

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Bibliographic Details
Published inAnnals of plastic surgery Vol. 17; no. 3; p. 259
Main Author Mitz, V
Format Journal Article
LanguageEnglish
Published United States 01.09.1986
Subjects
Adolescent
Amputation, Traumatic - surgery
Blast Injuries - surgery
Finger Injuries - surgery
Fingers - surgery
Humans
Male
Methods
Muscles - transplantation
Toes - transplantation
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Summary:A second toe to hand transfer is described for thumb reconstruction which includes the extensor digitorum brevis as a simultaneous opponensplasty. This procedure was effective in a young man injured in a bomb explosion that completely destroyed the first ray. The second toe was dissected in continuity with the extensor digitorum brevis muscle, its nerve was anastomosed to the motor branch of the median nerve. Thus a one-stage operation allowed a complete reconstruction of the first ray proximally to the trapezium. Recovery at 2 years is good, and the muscle transfer can be demonstrated to work.
ISSN:0148-7043
1536-3708
DOI:10.1097/00000637-198609000-00012