Transfer of Second Toe for the Treatment of Traumatic Thumb Amputation in a Four-year-old Child: A Case Report.

Autor:	Nakamoto HA; Grupo de Cirurgia da Mão e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HC), Faculdade de Medicina (FM), Universidade de São Paulo (USP), São Paulo, SP, Brasil., Gonçalves RB; Grupo de Cirurgia da Mão e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HC), Faculdade de Medicina (FM), Universidade de São Paulo (USP), São Paulo, SP, Brasil., Nakamoto JC; Grupo de Cirurgia da Mão e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HC), Faculdade de Medicina (FM), Universidade de São Paulo (USP), São Paulo, SP, Brasil., Iwase FDC; Grupo de Cirurgia da Mão e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HC), Faculdade de Medicina (FM), Universidade de São Paulo (USP), São Paulo, SP, Brasil., Pessa MMN; Grupo de Cirurgia da Mão e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HC), Faculdade de Medicina (FM), Universidade de São Paulo (USP), São Paulo, SP, Brasil., Rezende MR; Grupo de Cirurgia da Mão e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas (HC), Faculdade de Medicina (FM), Universidade de São Paulo (USP), São Paulo, SP, Brasil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2022 May 31; Vol. 59 (4), pp. e632-e636. Date of Electronic Publication: 2022 May 31 (Print Publication: 2024).
DOI:	10.1055/s-0042-1744518
Abstrakt:	Microsurgical toe transfer for thumb reconstruction is a challenging procedure, considering the technical skills necessary to perform it, as well as the difficult postoperative evaluation of esthetical and functional aspects. The present is the report of the case of a 3-year-old child who suffered a traumatic thumb amputation. Thumb reconstruction was performed through microsurgical toe transfer months after replantation failure. Subjective and objective outcome assessments were performed five years after the procedure. The functional outcome was evaluated through the Childhood Health Assessment Questionnaire (CHAQ) and the Jebsen-Taylor Hand Function Test (JTHFT). The Jamar dynamometer (Sammons Preston, Bolingbrook, IL, US) and the Jamar Pinch Gauge (Sammons Preston) devices were used to assess the handgrip and pinch strength respectively. The Semmes-Weinstein monofilament and two-point discrimination tests were performed. The patient presented an excellent functional outcome, partial recovery of strength, complete sensory recovery, and minimal donor site morbidity. A radiographic evaluation was also performed, and it demonstrated the preservation of the epiphyseal plate and the growth potential of the transplanted toe. In all aspects, the data observed reinforce the benefits and indications of toe transfer for thumb reconstruction in children. Competing Interests: Conflito de Interesses Os autores declaram não haver conflito de interesses. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ( https://creativecommons.org/licenses/by/4.0/ ).)
Databáze:	MEDLINE
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