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Date Published: 15/06/2023
Abstract Views: 253
Views PDF: 101
DOI: https://doi.org/10.51298/vmj.v527i1.5699
Issue
Vol. 527 No. 1 (2023)
Section
Các bài báo
How to Cite
Nguyễn, V. T. ., & Lê, V. Đoàn . (2023). EVALUATING THE RESULTS OF THUMB RECONSTRUCTION BY TOE TRANSFER AND DONOR FOOT MORBIDITY. Vietnam Medical Journal, 527(1). https://doi.org/10.51298/vmj.v527i1.5699

EVALUATING THE RESULTS OF THUMB RECONSTRUCTION BY TOE TRANSFER AND DONOR FOOT MORBIDITY

Việt Tân Nguyễn1,, Văn Đoàn Lê1
1 108 Military Central Hospital

Main Article Content

Abstract

Objective: To evaluate the hand function results and foot morbidity following toe-to-thumb transfer surgery. Subject and method: 55 patients were operated on to thumb reconstruction using toe transfer. A retrospective study on 28 patients combined a prospective study on 27 patients; longitudinal survey, no control group. Results: Age average was 29,4; male/female rate was 45/10. Primary results (n=55): the survival rate was 98,2%; partial necrosis was 1,8%. Secondary results (n=54): The average of static 2 points discrimination was 13,9 mm; 31,4% had tendon adhesion complication. In the group of 16 thumb stumps without thenar muscles, 14/16 achieved basic thumb opposition. In the group of 38 stumps preserving thenar muscles, the average of Kapandji score was 8,3; The average of grip strength and key pinch strength was 83,8% and 59,4% of uninjured side, respectively. The foot morbidity was negligible with an average foot and ankle disability index score of 96,5/100. Conclusion: Toe-to-thumb transfer surgery was safe, achieved good outcomes in movement and sensory restoration, did not leave much morbidity on the donor foot.

Article Details

Keywords

Thumb reconstruction, toe transfer, thumb, thumb stump

References

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