Replantation of the Great Toe |
Joo Sung Kim, M.D., Sun O You, M.D., Jun O Yoon, M.D.*, Jin Sam Kim, M.D.*, Sang Hyun Woo, M.D., Gi Jun Lee, M.D. |
족무지 재접합술 |
김주성·유선오·윤준오*·김진삼*·우상현·이기준 |
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Abstract |
Purpose: The purpose of this study was to present the clinical analysis of the results and our experience of the replantation surgery of the great toe. Materials and Methods: Between March 1995 and December 2002, twelve great toes, amputated from the distal phalanx to proximal phalanx were replanted. The complete types were 5 cases and incomplete types were 7 cases. The guillotine injuries were 4 cases and the crushing injuries were 8 cases. Results: Replantation in eleven out of the twelve amputations survived. The cases of revision were 3 cases due to venous thrombosis. Patients were followed up for a mean period of 2.2 years. The mean total active motion of the first MTP joint was 80°. The fusion of IP joint was carried in 7 cases due to the amputation of the IP joint level. The shortening of the replanted great toes was present, with average 0.9cm. The two point discrimination was 7-8mm except 2 cases with loss of nerve. Conclusion: Although replantation of the great toe remains to be controversial, replantation of the great toe should be considered in well-motivated patients because successful replantation regains an important component of the foot and good functional, cosmetic results. |
Key Words:
Great toe, Replantation |
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