Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Replantation of the Great Toe

족무지 재접합술

  • Kim, Joo Sung (Kim & Woo's Institute for Hand & Reconstructive microsurgery, Hyun Dae Hospital) ;
  • You, Sun O (Kim & Woo's Institute for Hand & Reconstructive microsurgery, Hyun Dae Hospital) ;
  • Yoon, Jun O (Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Jin Sam (Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Woo, Sang Hyun (Kim & Woo's Institute for Hand & Reconstructive microsurgery, Hyun Dae Hospital) ;
  • Lee, Gi Jun (Kim & Woo's Institute for Hand & Reconstructive microsurgery, Hyun Dae Hospital)
  • 김주성 (대구현대병원 "김&우" 수부외과 및 미세재건수술센터) ;
  • 유선오 (대구현대병원 "김&우" 수부외과 및 미세재건수술센터) ;
  • 윤준오 (울산대학교 의과대학 서울아산병원 정형외과학교실) ;
  • 김진삼 (울산대학교 의과대학 서울아산병원 정형외과학교실) ;
  • 우상현 (대구현대병원 "김&우" 수부외과 및 미세재건수술센터) ;
  • 이기준 (대구현대병원 "김&우" 수부외과 및 미세재건수술센터)
  • Published : 2004.05.31
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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 $80^{\circ}$. 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.

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