A 2-Stage 6 Toe-to-Hand Transfer for the Reconstruction of Bilateral Digitless Hands.
Document Type
Article
Publication Date
2025
Publication Title
Hand (N Y)
Abstract
Reconstruction of metacarpal hands remains a challenging problem for hand surgeons. In this case report, we present a middle-aged female patient with bilateral Wei Type IIB metacarpal hands secondary to severe burn injuries following a motor vehicle accident. The patient underwent a 2-stage reconstruction with big, second, and third toes transfer in each hand to restore tripod pinch. Long-term follow-up demonstrated excellent functional outcomes, with independence with all activities of daily living and minimal donor site morbidity. This is the first report of a 2-stage 6 toe-to-hand transfer in a patient with bilateral metacarpal hands. Approaching this patient's reconstruction in only 2 stages allowed for a successful outcome with fewer operations and less surgical morbidity.
Volume
20
Issue
5
First Page
NP5
Last Page
NP9
Recommended Citation
Lefebvre R, Bougioukli S, McCullough M, Kelpin J, Detels E, Stevanovic M. A 2-stage 6 toe-to-hand transfer for the reconstruction of bilateral digitless hands. Hand-American Association for Hand Surgery. 2025;20(5):NP5-NP9. doi: 10.1177/15589447241293164. PMID: 39582412.
DOI
10.1177/15589447241293164
ISSN
1558-9455
PubMed ID
39582412