MICROVASCULAR SURGERY IN THE RECONSTRUCTION OF CONGENITAL HAND ANOMALIES

Several congenital upper extremity anomalies may be treated using micr osurgical techniques. Long-term studies have shown the usefulness of m icrovascular toe transfer in the treatment of adactyly with the incorp oration of the transferred digit into grasp-and-pinch function. The us e of free fibular transfer for long bone deformities of the forearm ha s been shown to provide bony union as well as growth. Factors that mus t be considered include patient age, vessel availability, and lack of other possible reconstructive options.