Hand: Microsurgery and Flaps

Long-term results of finger reconstruction with microvascular toe transfers after trauma

Kotkansalo T, Vilkki S, Elo P (Turku Univ Hosp, Finland; Tampere Univ Hosp, Finland; Med Imaging Centre, Tampere, Finland) J Plast Reconstr Aesthet Surg 64:1291-1299, 2011^§

Abstract

Amputation of all or most of the fingers severely disturbs the gripping function of the hand. The purpose of this study was to evaluate the long-term functional results of finger-amputation patients rehabilitated with microvascular toe transfers.

Fifteen such patients (10 males, median age at injury 26   years (range 5–49   years)) were examined after a median follow-up of 18   years. Eight patients had no fingers spared by the initial trauma and the rest had at least two fingers amputated. The function of the hand was accessed subjectively (questionnaires) and objectively (tests). Further, physical parameters were measured and compared to the other healthy hand.

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