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Second toe-to-hand transplantation. A surgical option for hand amputations.

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Title: Second toe-to-hand transplantation. A surgical option for hand amputations.
Alternate Title: Trasplante del segundo dedo del pie a la mano. Una opción quirúrgica para las amputaciones en la mano.
Authors: Vergara-Amador, Enrique1 emvergaraa@unal.edu.co
Source: Colombia Medica. Apr-Jun2015, Vol. 46 Issue 2, p71-74. 4p.
Subjects: HAND transplantation, TOES, FINGERS, GRAFT versus host reaction, THUMB, TRANSPLANTATION of organs, tissues, etc., TREATMENT effectiveness, TRAUMATIC amputation
Abstract (English): Background: The toe to hand transplantation is a method of reconstruction on the unique or multiple amputations of the fingers. It can be used the whole toe or with certain modifications as a wraparound flap from the big toe or fingertip. It is a widely accepted option for the thumb. Methods: It is a series of patients with amputation of one or more fingers of the hand were operated with second toe to hand transplantation. The survival was evaluated and the sensory recovery by 2-point discrimination. Results: We practiced 12 transplants, 8 thumb, and 4 in other fingers. Ten were adults and 2 children. All transplants survived. Two patients required tenolysis flexor. The sensibility was recovered with good 2-point discrimination of 8 mm. Discussion: In the more proximal finger amputations, a second toe is the most appropriate, with lower morbidity of the donor site. The rates of success are between 95 to 100%. We had a success rate of 100%. The resulting defect is in the foot is minimum when the second toe was used. The decision to use one of these techniques depends on the decision and transplant surgeon training. We always used the second toe for transfers to the hand, considering that it will be thinner than the original thumb; our patients had no complaint about the appearance. Conclusion: Toe-to-hand transplantation is a good technique, providing a very good aesthetic appearance and allowing the recovery of sensitivity. The defect that is created in the foot does not produce significant aesthetic and functional alterations [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes: El trasplante de un dedo del pie a la mano es un método de reconstrucción en las amputaciones únicas o múltiples de los dedos. Se puede usar el dedo en su totalidad o con ciertas modificaciones como una envoltura de piel y uña, o de la punta del dedo. Es una opción ampliamente aceptada para el pulgar. Métodos: Es una serie de pacientes con amputación de uno o más dedos de la mano, intervenidos con un trasplante del segundo dedo del pie a la mano. Se evaluó la supervivencia del trasplante y la recuperación sensitiva con la discriminación de 2 puntos. Resultados: Se realizaron 12 trasplantes, 8 para el pulgar, y cuatro en otros dedos de la mano. Diez fueron adultos y 2 niños. Todos los trasplantes sobrevivieron. Dos pacientes requirieron tenolisis del flexor. La sensibilidad recuperada fue buena con discriminación de 2 puntos de 8 mm. Discusión: En las amputaciones más proximales de los dedos, un segundo dedo del pie es el más adecuado, con menor morbilidad de la zona donante. La tasa de éxito está entre el 95 a 100%. Nosotros tuvimos un 100%. El defecto resultante en el pie es mínimo cuando se usa el segundo dedo. La decisión de utilizar una de las técnicas de trasplante depende de la decisión y formación del cirujano. Conclusión: Es una buena técnica que brinda una apariencia estética muy buena y permite la recuperación de la sensibilidad. El defecto resultante en el pie no produce alteraciones funcionales ni estéticas significativas. [ABSTRACT FROM AUTHOR]
Copyright of Colombia Medica is the property of Universidad del Valle and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Second toe-to-hand transplantation. A surgical option for hand amputations.
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  Data: Trasplante del segundo dedo del pie a la mano. Una opción quirúrgica para las amputaciones en la mano.
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  Data: <searchLink fieldCode="AR" term="%22Vergara-Amador%2C+Enrique%22">Vergara-Amador, Enrique</searchLink><relatesTo>1</relatesTo><i> emvergaraa@unal.edu.co</i>
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  Data: <searchLink fieldCode="JN" term="%22Colombia+Medica%22">Colombia Medica</searchLink>. Apr-Jun2015, Vol. 46 Issue 2, p71-74. 4p.
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  Data: <searchLink fieldCode="DE" term="%22HAND+transplantation%22">HAND transplantation</searchLink><br /><searchLink fieldCode="DE" term="%22TOES%22">TOES</searchLink><br /><searchLink fieldCode="DE" term="%22FINGERS%22">FINGERS</searchLink><br /><searchLink fieldCode="DE" term="%22GRAFT+versus+host+reaction%22">GRAFT versus host reaction</searchLink><br /><searchLink fieldCode="DE" term="%22THUMB%22">THUMB</searchLink><br /><searchLink fieldCode="DE" term="%22TRANSPLANTATION+of+organs%2C+tissues%2C+etc%2E%22">TRANSPLANTATION of organs, tissues, etc.</searchLink><br /><searchLink fieldCode="DE" term="%22TREATMENT+effectiveness%22">TREATMENT effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22TRAUMATIC+amputation%22">TRAUMATIC amputation</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Background: The toe to hand transplantation is a method of reconstruction on the unique or multiple amputations of the fingers. It can be used the whole toe or with certain modifications as a wraparound flap from the big toe or fingertip. It is a widely accepted option for the thumb. Methods: It is a series of patients with amputation of one or more fingers of the hand were operated with second toe to hand transplantation. The survival was evaluated and the sensory recovery by 2-point discrimination. Results: We practiced 12 transplants, 8 thumb, and 4 in other fingers. Ten were adults and 2 children. All transplants survived. Two patients required tenolysis flexor. The sensibility was recovered with good 2-point discrimination of 8 mm. Discussion: In the more proximal finger amputations, a second toe is the most appropriate, with lower morbidity of the donor site. The rates of success are between 95 to 100%. We had a success rate of 100%. The resulting defect is in the foot is minimum when the second toe was used. The decision to use one of these techniques depends on the decision and transplant surgeon training. We always used the second toe for transfers to the hand, considering that it will be thinner than the original thumb; our patients had no complaint about the appearance. Conclusion: Toe-to-hand transplantation is a good technique, providing a very good aesthetic appearance and allowing the recovery of sensitivity. The defect that is created in the foot does not produce significant aesthetic and functional alterations [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Antecedentes: El trasplante de un dedo del pie a la mano es un método de reconstrucción en las amputaciones únicas o múltiples de los dedos. Se puede usar el dedo en su totalidad o con ciertas modificaciones como una envoltura de piel y uña, o de la punta del dedo. Es una opción ampliamente aceptada para el pulgar. Métodos: Es una serie de pacientes con amputación de uno o más dedos de la mano, intervenidos con un trasplante del segundo dedo del pie a la mano. Se evaluó la supervivencia del trasplante y la recuperación sensitiva con la discriminación de 2 puntos. Resultados: Se realizaron 12 trasplantes, 8 para el pulgar, y cuatro en otros dedos de la mano. Diez fueron adultos y 2 niños. Todos los trasplantes sobrevivieron. Dos pacientes requirieron tenolisis del flexor. La sensibilidad recuperada fue buena con discriminación de 2 puntos de 8 mm. Discusión: En las amputaciones más proximales de los dedos, un segundo dedo del pie es el más adecuado, con menor morbilidad de la zona donante. La tasa de éxito está entre el 95 a 100%. Nosotros tuvimos un 100%. El defecto resultante en el pie es mínimo cuando se usa el segundo dedo. La decisión de utilizar una de las técnicas de trasplante depende de la decisión y formación del cirujano. Conclusión: Es una buena técnica que brinda una apariencia estética muy buena y permite la recuperación de la sensibilidad. El defecto resultante en el pie no produce alteraciones funcionales ni estéticas significativas. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Colombia Medica is the property of Universidad del Valle and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 4
        StartPage: 71
    Subjects:
      – SubjectFull: HAND transplantation
        Type: general
      – SubjectFull: TOES
        Type: general
      – SubjectFull: FINGERS
        Type: general
      – SubjectFull: GRAFT versus host reaction
        Type: general
      – SubjectFull: THUMB
        Type: general
      – SubjectFull: TRANSPLANTATION of organs, tissues, etc.
        Type: general
      – SubjectFull: TREATMENT effectiveness
        Type: general
      – SubjectFull: TRAUMATIC amputation
        Type: general
    Titles:
      – TitleFull: Second toe-to-hand transplantation. A surgical option for hand amputations.
        Type: main
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            NameFull: Vergara-Amador, Enrique
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            – D: 01
              M: 04
              Text: Apr-Jun2015
              Type: published
              Y: 2015
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              Value: 46
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            – TitleFull: Colombia Medica
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