Freie Transplantation der II. Zehe. Technische Einzelheiten, Probleme und Losungen. [Free transplantation of the 2d toe. Technical features, problems and solutions]

Details

Serval ID
serval:BIB_43AFCAF17138
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Freie Transplantation der II. Zehe. Technische Einzelheiten, Probleme und Losungen. [Free transplantation of the 2d toe. Technical features, problems and solutions]
Journal
Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Author(s)
Egloff  D. V.
ISSN
0722-1819 (Print)
Publication state
Published
Issued date
03/1985
Volume
17
Number
2
Pages
103-8
Notes
English Abstract
Journal Article --- Old month value: Mar
Abstract
On the basis of seven transfers of the second toe and one "en bloc" transfer of the second and third toe, technical features are discussed. The use of a plate for osteosynthesis is proposed. It has been found very useful, particularly when a MP-arthrodesis is performed between the first metacarpal and the second toe. It gives stability and therefore secondary displacement and/or rotation of the toe are avoided. It enables more accurate tension to be placed on the repaired tendons. For the flexor tendons it is suggested to repair the communis longus only, whereas both extensors, longus and brevis, and eventually the distal tendon of the lumbrical muscle should be sutured to avoid a PIP flexion contracture. In one case the revascularisation of the transfer was effected through the dorsalis pedis artery. In the seven other cases the digitalis plantaris communis I artery was used either as a substitute or as a complementary vessel. Under good conditions the repair of only one vein can be sufficient. Collateral plantar nerves as well as dorsal nerves must all be repaired. The use of fibrin glue for their suture is mentioned. A cutaneous defect is frequent on the lateral sides of the transferred toe. It can be first covered with Epigard and secondarily grafted after one or two weeks. That method was used in five out of eight cases.
Keywords
Adolescent Adult Amputation, Traumatic/radiography/*surgery Arthrodesis Bone Plates Child Finger Injuries/*surgery Humans Male Metatarsophalangeal Joint/surgery Methods Thumb/injuries/surgery Toes/blood supply/*transplantation
Pubmed
Create date
18/01/2008 11:43
Last modification date
20/08/2019 14:47
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