Funkční a estetická náhrada ruky přenosem prstů z nohy

Title in English Functional and aesthetic hand reconstruction using toes-to-hand transfers.
Authors

VESELÝ Jiří STUPKA Igor MOLITOR Martin HÝŽA Petr DRAŽAN Luboš KUČEROVÁ Lucie HRBATÝ Josef

Year of publication 2004
Type Article in Periodical
Magazine / Source Úraz chir.
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords toe to hand transfers; long term results; microsurgery
Description In the period of 1987-2002, 147 toe-to-hand transfers were performed in 111 patients. Traumatic amputation was reconstructed by transfer of 131 toes in 101 patients, congenital anomaly was treated in 10 patients by transplantation of 16 toes. In this study 60 reconstructed hands were evaluated in 59 patients. Functional ability was evaluated by performing of 20 selected activities of daily life. Successful rate of transfer was 94.6% in post-traumatic transplantation and 100% in congenital anomalies reconstruction. The average total range of motion and two point discrimination sensitivity was 53 degree and 11 mm respectively. The highest patients satisfaction was noticed in cases of thumb and metacarpal hand reconstruction.
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