The Foot as Donor Site for Functional Unit Reconstruction in the Hand with Toe Transfer Variations.

Abstract

The foot is an ideal donor site for reconstruction of defects in the hand. While standard toe transfer variants such as great or second toe transfer are commonly used, other variants can be designed depending on the requirements of the defect. In this article we illustrate the use of toe transfer variants to reconstruct different defects in the hand following functional and aesthetic units. Where possible, all ten toes should be preserved. Specifically, we discuss reconstruction of pulp defects, nail complex defects, proximal interphalangeal joint defects, webspace defects, complete finger amputations and rarer indications for vascularised toe joint transfers. Cases from all authors are presented.