Double second toe transfer in congenital hand anomalies

A series of 14 patients with congenital hand anomalies who received staged double second toe transfers to the same hand for restoration of function or form were reviewed retrospectively. There were three children with constri ction ring syndrome, two with symbrachydactyly and nine with transverse abs ence (failure of formation). There mere different indications, technical di fficulties and results with the various anomalies, All transferred toes mer e mobile and sensate, and mere reported to be of benefit in both function a nd appearance. However, secondary surgical procedures were required in all patients.