J Reconstr Microsurg 2002; 18(2): 083-086
DOI: 10.1055/s-2002-19886
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Microvascular Toe Transfer for Cleft-Foot Plasty: Eight-Year Follow-Up

Toru Sunagawa, Kenji Kimori, Yoshikazu Ikuta, Osamu Ishida, Yuko Tani
  • Departmentof Orthopaedic Surgery HiroshimaUniversity Faculty of Medicine Hiroshima,Japan
Further Information

Publication History

Publication Date:
31 January 2002 (online)

ABSTRACT

No exact equivalent procedure has been developed for cleft-foot plasty. In the case of a four-year-old boy, the plasty was achieved by using microvascular toe transfer from a contralateral side that was amputated. Eight years postoperatively, the longitudinal growth of the grafted toe is symmetric, compared to the recipient toes, and the appearance of the treated foot is quite natural. The patient can run with a prosthesis on the amputated leg. It is suggested that utilization of parts from a useless extremity is important to reconstruct the other extremity.

REFERENCES

  • 1 Sumiya N, Onizuka T. Seven years' survey of our new cleft foot repair.  Plast Reconstr Surg . 1980;  65 447
  • 2 Wood V E, Peppers T A, Shook J. Cleft-foot closure: a simplified technique and review of the literature.  J Pediatr Orthop . 1997;  17 501
  • 3 Abraham E, Waxman B, Shirali S, Durkin M. Congenital cleft-foot deformity treatment.  J Pediatr Orthop . 1999;  19 404
  • 4 Blauth W, Borisch N C. Cleft feet: proposals for a new classification based on roentgenographic morphology.  Clin Orthop . 1990;  258 41
  • 5 Tani Y, Ikuta Y, Ishida O. Surgical treatment of the cleft foot.  Plast Reconstr Surg . 2000;  105 1997
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