A comparison between primary and secondary toe-to-hand transplantation

Plastic and Reconstructive Surgery
Kenneth K YimChih-Hung Lin

Abstract

Although primary toe-to-hand transplantation is performed with increasing frequency, its use is still controversial because of the lack of any comparative studies documenting its safety and efficacy. Between August of 1990 and December of 1993, 175 consecutive toe-to-hand transplantations for crush and avulsion injuries were performed in 122 patients. The average interval between injury and primary reconstruction was 7 days, and the average interval between injury and secondary reconstruction was 10.7 months. Follow-up ranged from 18 to 91 months, with an average follow-up of 58 months. There were 31 primary transplantations and 144 secondary transplantations. The survival rate was 96.8 percent (30 of 31) for primary reconstruction and 96.5 percent (139 of 144) for secondary reconstruction. Intraoperative anastomotic revision was necessary in 3.2 percent (one of 31) of primary transplantations and 7.6 percent (11 of 144) of secondary transplantations. Three primary toe-to-hand transplantations (9.7 percent) and 17 secondary toe-to-hand transplantations (11.8 percent) were re-explored in the postoperative period. Each group had one superficial infection. The infection rate was 6.5 percent and 0.7 percent in the primary and secon...Continue Reading

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Citations

Jan 28, 2012·Journal of Hand and Microsurgery·Steven L Henry, Fu-Chan Wei
Jun 26, 2013·The Journal of Hand Surgery·Jennifer F Waljee, Kevin C Chung
Oct 29, 2011·Clinics in Plastic Surgery·Wee-Leon Lam, Fu-Chan Wei
Dec 17, 2008·The Journal of Hand Surgery·Francisco Del PiñalAlexis Studer
May 5, 2007·Hand Clinics·Christopher G Wallace, Fu-Chan Wei
Nov 11, 2006·The Journal of Hand Surgery·A Lee Dellon, Christopher T Maloney
Mar 31, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·J-H Ju, R-X Hou
Oct 8, 2016·Hand Clinics·David GrahamS Raja Sabapathy
Aug 9, 2017·The Journal of Hand Surgery, European Volume·Roberto Adani, Sang Hyun Woo
Sep 26, 2014·Plastic and Reconstructive Surgery·Mitchell A PetNicholas B Vedder
Oct 31, 2014·Plastic and Reconstructive Surgery·Yu-Te LinFu-Chan Wei

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