J Med Assoc Thai 2000; 83 (1):77

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Microsurgical Toe to Thumb Transplantation for Traumatic Thumb Loss
Patradul A Mail, Kitidumrongsook P , Ngarmukos C , Parkpian V

Toe-to-thumb transfer was performed on 13 patients with traumatic thumb loss, using
microvascular technique. Of those, 9 patients had industrial injury, 3 patients had a sharp cut
injury and the remaining one had animal bite injury. The toes used for the transfer were the
great toe(5), and the second toe(8). There were twelve successes, and one partial success. Ten
patients have been followed-up for more than 12 months, and they are reviewed in detail. Total
active motion after great toe and second toe transfer was 45" and 68" respectively. Static
two-point discrimination was 10-15 mm in 10 patients. The donor foot did not suffer functionally.
All of the patients returned to gainful employment postoperatively.
Key word : Toe to Thumb Transplantation, Microsurgical Technique, Traumatic Thumb Loss

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