LONG-TERM RESULTS OF TOE TRANSFER - RETROSPECTIVE ANALYSIS

Between February 1966 and February 1994, 400 cases of toe transplantat ion were analyzed, to evaluate toe-transfer procedures in thumb and fi nger reconstruction. Techniques utilized included single second-toe tr ansfer, with and without the metatarsophalangeal joint (299): second- and third-toe transfer (28); second-toe and third proximal phalanx tra nsfer (ii; second-toe with flap transfers (66); and hallux nail flap w ith second toe or second and third toe transfer (6). There was a survi val rate of 96.5 percent, with 386 cases surviving and 14 failing. A m ore than 2-year follow-up was possible in 240 cases. Excellent motor a nd sensory function (more than 90 percent of normal) was achieved in t he reconstructed Angers and thumbs, as well as satisfactory function ( between 86 and 91 percent of normal) in the donor foot.