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Case studies are posted regularly and the moderators response follows a few days after a case is posted. Please feel free to post your ideas we may find you have a better answer than the moderator!

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Tricky Case - 5/6/2007
This 36 year old male underwent multiple surgeries after a traumatic injury. Looking at the photo can you describe what procedures this patient had?

Moderators Response:
If you look closely you notice the patient has only 4 digits. His index finger is missing due to a successful ray resection. The patients thumb is a result of a toe to thumb transfer. Initial injury was saw injury resulting in thumb, index, long and ring finger partial amputations. Multiple surgeries later, the long and ring finger were successfully reestablished with full function. The index finger was sacrificed and he then required a lengthening of the thumb. The surgeon in this case performed a toe to thumb transfer. This patient is functional and doing well.
 
Name:
Comment:
 
5/8/2007
Otto
I have never seen it but it looks like a transplant of the foot for the thumb. And reconstruction of the EPL. I suppose the FPL had to be reconstructed too.
5/14/2007
Anonymous
Toe to thumb transplant
5/17/2007
Anonymous
toe to thumb transfer
5/18/2007
Anonymous
toe to thumb transfer
5/27/2007
Fannoon
toe to thumb transfer
5/28/2007
Anonymous
Ray amputation
6/11/2007
Anonymous
Big toe transplantation with tendon and nerve transfers following amputation of right thumb
8/19/2007
BK
Looks like a great toe to thumb transfer with a 2nd ray resection and a tendon transfer EDC/EIP tp EPL/EPB
12/4/2007
Anonymous
amputation x2 thum and forefinger toe to thumb transplantation
11/13/2008
Anonymous
TRANPLANT OF A TOE FOR LOSS OF THUMB?
3/9/2009
Anonymous
first ray resection with transplant of toe to thumb
11/12/2011
Anonymous
cmc joint arthroplasty
 
     
   
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