J Reconstr Microsurg 2005; 21(7): 453-458
DOI: 10.1055/s-2005-918899
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Toe-to-Hand Transfer from a Cross-Foot Replantation in a Traumatic Four-Extremity Amputation

Serkan Yildirim1 , Mithat Akan1 , Tayfun Aköz1
  • 1Department of Plastic and Reconstructive Surgery, Dr. Lütfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey
Further Information

Publication History

Accepted: June 18, 2005

Publication Date:
30 September 2005 (online)

ABSTRACT

Treatment of mutilating hand injuries often requires multiple innovative procedures. This report describes a case of multi-limbed amputations from a train injury and the extraordinary microsurgical approaches for a two-hand reconstruction. The first stage of the procedure was a cross replantation of the left foot to the right leg. The second stage was a combined second and third toe transfer from the cross replantation of the left foot to the right hand, and a sensate fibular osteocutaneous flap transfer for left hand reconstruction. Satisfactory function was restored, including good protective sensation. These kinds of extraordinary microsurgical approaches are useful salvage procedures for hand reconstruction, when presented with a case of multi-limb amputation

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Serkan YildirimM.D. 

Kozyatagi mah. Sakaci sok., Altýngeyikler apt. 52/23

34742 Kadiköy, Istanbul, Turkey