Retrospective survey of seventeen toe transfers relation between surgical techniques and functional results

Détails

ID Serval
serval:BIB_24D37E304A32
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Retrospective survey of seventeen toe transfers relation between surgical techniques and functional results
Périodique
Annales de Chirurgie de la Main
Auteur(s)
Egloff  D. V.
ISSN
0753-9053 (Print)
Statut éditorial
Publié
Date de publication
1985
Volume
4
Numéro
4
Pages
286-93
Notes
Journal Article
Résumé
The functional results of 17 toe transfers (15 second toes, 1 great toe and 1 monobloc second and third toes) are presented: arteries: 16 revascularisations achieved successfully out of 17. Veins: only one re-exploration had to be performed and it was successful. Osteosynthesis: performed in 10 cases with plate and screws, in 5 cases with a single K-wire and in 1 case with a double K-wire. No osteosynthesis was necessary in one case. Uneventful bone healing was always achieved. Tendons: the amplitude of movement at the interphalangeal joints (PIP & DIP) in post-traumatic cases is sufficient to ensure the desired function. In cases of congenital anomaly, however, the mobility of the transferred toe is almost nonexistent and function relies on the mobility of the recipient stump. Nerves: either discriminative or protective sensation was always obtained. Skin: in all cases adequate skin cover was obtained without resorting to a flap. Sequellae at the foot: there are virtually none when the second toe is removed. Various gait impediments occur, however, particularly on uneven surfaces, when the great toe or the monobloc second and third toes are removed.
Mots-clé
Bone Plates Bone Wires Finger Injuries/*surgery Fingers/*abnormalities Fracture Fixation, Internal Humans Reoperation Retrospective Studies Tendons/surgery Toes/*transplantation Vascular Surgical Procedures
Pubmed
Création de la notice
18/01/2008 10:43
Dernière modification de la notice
20/08/2019 13:03
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