Abstract
A ten-year experience of combined second and third toe transfer is described. The length, position, and the web space are important considerations during planning. To preserve bone and skin for the donor foot, these tissues should be reconstructed with groin flap and bone block beforehand. During operation, special attention should be paid to the exact design of incision, retrograde dissection of the metatarsal artery, tight extensor repair and longitudinal K-wire, to prevent clawing and wound closure before vascular anastomosis. Passive mobilization and sensory re-education should begin early.
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