Microvascular double toe transfer for opposable digits—Case report and rationale for treatment

Abstract

Microvascular transfer of the great toe has become an accepted technique for reconstruction of the amputated thumb in selected cases. In a few instances, double transfer of lesser toes has been used to reconstruct multiple finger amputations when the thumb was intact. This report describes the reconstruction of a thumb and an opposable finger in a patient who had lost all digits. A rationale for patient selection, preoperative planning, and postoperative management is also presented. Microvascular transfer of the great toe has become an accepted technique for reconstruction of the amputated thumb in selected cases. In a few instances, double transfer of lesser toes has been used to reconstruct multiple finger amputations when the thumb was intact. This report describes the reconstruction of a thumb and an opposable finger in a patient who had lost all digits. A rationale for patient selection, preoperative planning, and postoperative management is also presented.