Further Developments in the Twisted-Toe Technique for Isolated
Thumb Reconstruction: Our Method of Choice

J 2013

Further Developments in the Twisted-Toe Technique for Isolated Thumb Reconstruction: Our Method of Choice

KEMPNÝ, Tomáš; Jiri PAROULEK; Vladimir MARIK; Pavel KURIAL; Břetislav LIPOVÝ et. al.

Základní údaje

Originální název

Further Developments in the Twisted-Toe Technique for Isolated Thumb Reconstruction: Our Method of Choice

Autoři

KEMPNÝ, Tomáš (203 Česká republika); Jiri PAROULEK (203 Česká republika); Vladimir MARIK (203 Česká republika); Pavel KURIAL (203 Česká republika); Břetislav LIPOVÝ (203 Česká republika, garant, domácí) a Georg M. HUEMER (40 Rakousko)

Vydání

PLASTIC AND RECONSTRUCTIVE SURGERY, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2013, 0032-1052

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 3.328

Kód RIV

RIV/00216224:14110/13:00071792

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.1097/PRS.0b013e31828bd4a2

UT WoS

000319567500001

EID Scopus

2-s2.0-84879912096

Klíčová slova anglicky

GREAT-TOE; FLAP

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 8. 3. 2021 08:40, Mgr. Tereza Miškechová

Anotace

V originále

Background: Posttraumatic loss of the thumb is devastating. Toe-to-hand transfer is considered the criterion standard of reconstruction but is associated with donor-site issues. The twisted-toe technique uses parts from the great toe and the second toe, which allows for almost anatomical restoration of the donor foot. The authors present their experience and technical modifications of this method. Methods: Between January of 2003 and November of 2011, 18 patients suffering from loss of thumb because of a variety of indications were treated with the authors' modification of the twisted-toe technique. The neothumb was constructed with a partial onychocutaneous flap from the great toe and an osseotendinous flap from the second toe. Results: Of 18 transplanted twisted-toe flaps, 17 survived completely (5.6 percent flap loss rate). Similarity of the reconstructed thumb compared with the healthy side was very acceptable in all cases. All patients in whom the procedure was successful were able to use the neothumb in daily life without constraints. Reconstruction of the donor site yielded very acceptable outcomes with a distinct reduction in morbidity and disfigurement compared with conventional toe harvest. Conclusions: The modified twisted-toe technique is the authors' preferred choice of thumb reconstruction. It allows the reconstructive surgeon to construct a very natural-appearing neothumb with good stability and grip force. In addition, it eliminates many of the donor-site problems associated with pure great toe harvest, by recreating a "neo-great toe" at the donor foot. Although the procedure is more complicated and time-consuming compared with single toe harvest, the authors firmly believe that this extra effort takes thumb reconstruction to a next level.

Citovat

KEMPNÝ, Tomáš; Jiri PAROULEK; Vladimir MARIK; Pavel KURIAL; Břetislav LIPOVÝ a Georg M. HUEMER. Further Developments in the Twisted-Toe Technique for Isolated Thumb Reconstruction: Our Method of Choice. PLASTIC AND RECONSTRUCTIVE SURGERY. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2013, roč. 131, č. 6, s. "871E"-"879E", 9 s. ISSN 0032-1052. Dostupné z: https://doi.org/10.1097/PRS.0b013e31828bd4a2.

@article{1163541,
   author = {Kempný, Tomáš and Paroulek, Jiri and Marik, Vladimir and Kurial, Pavel and Lipový, Břetislav and Huemer, Georg M.},
   article_location = {PHILADELPHIA},
   article_number = {6},
   doi = {https://doi.org/10.1097/PRS.0b013e31828bd4a2},
   keywords = {GREAT-TOE; FLAP},
   language = {eng},
   issn = {0032-1052},
   journal = {PLASTIC AND RECONSTRUCTIVE SURGERY},
   title = {Further Developments in the Twisted-Toe Technique for Isolated Thumb Reconstruction: Our Method of Choice},
   url = {https://journals.lww.com/plasreconsurg/Fulltext/2013/06000/Further_Developments_in_the_Twisted_Toe_Technique.10.aspx},
   volume = {131},
   year = {2013}
}

TY  - JOUR
ID  - 1163541
AU  - Kempný, Tomáš - Paroulek, Jiri - Marik, Vladimir - Kurial, Pavel - Lipový, Břetislav - Huemer, Georg M.
PY  - 2013
TI  - Further Developments in the Twisted-Toe Technique for Isolated Thumb Reconstruction: Our Method of Choice
JF  - PLASTIC AND RECONSTRUCTIVE SURGERY
VL  - 131
IS  - 6
SP  - "871E"-"879E"
EP  - "871E"-"879E"
PB  - LIPPINCOTT WILLIAMS & WILKINS
SN  - 00321052
KW  - GREAT-TOE
KW  - FLAP
UR  - https://journals.lww.com/plasreconsurg/Fulltext/2013/06000/Further_Developments_in_the_Twisted_Toe_Technique.10.aspx
N2  - Background: Posttraumatic loss of the thumb is devastating. Toe-to-hand transfer is considered the criterion standard of reconstruction but is associated with donor-site issues. The twisted-toe technique uses parts from the great toe and the second toe, which allows for almost anatomical restoration of the donor foot. The authors present their experience and technical modifications of this method. Methods: Between January of 2003 and November of 2011, 18 patients suffering from loss of thumb because of a variety of indications were treated with the authors' modification of the twisted-toe technique. The neothumb was constructed with a partial onychocutaneous flap from the great toe and an osseotendinous flap from the second toe. Results: Of 18 transplanted twisted-toe flaps, 17 survived completely (5.6 percent flap loss rate). Similarity of the reconstructed thumb compared with the healthy side was very acceptable in all cases. All patients in whom the procedure was successful were able to use the neothumb in daily life without constraints. Reconstruction of the donor site yielded very acceptable outcomes with a distinct reduction in morbidity and disfigurement compared with conventional toe harvest. Conclusions: The modified twisted-toe technique is the authors' preferred choice of thumb reconstruction. It allows the reconstructive surgeon to construct a very natural-appearing neothumb with good stability and grip force. In addition, it eliminates many of the donor-site problems associated with pure great toe harvest, by recreating a "neo-great toe" at the donor foot. Although the procedure is more complicated and time-consuming compared with single toe harvest, the authors firmly believe that this extra effort takes thumb reconstruction to a next level.
ER  -

KEMPNÝ, Tomáš; Jiri PAROULEK; Vladimir MARIK; Pavel KURIAL; Břetislav LIPOVÝ a Georg M. HUEMER. Further Developments in the Twisted-Toe Technique for Isolated Thumb Reconstruction: Our Method of Choice. \textit{PLASTIC AND RECONSTRUCTIVE SURGERY}. PHILADELPHIA: LIPPINCOTT WILLIAMS \&{} WILKINS, 2013, roč.~131, č.~6, s.~''871E''-''879E'', 9 s. ISSN~0032-1052. Dostupné z: https://doi.org/10.1097/PRS.0b013e31828bd4a2.

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