Our Summary

This study reviews research on the use of toe-to-hand transfers to treat people who have lost thumbs and multiple fingers, resulting in a hand deformity. This type of procedure can be risky and requires a lot of resources. The researchers looked at many different studies and found 20 that were suitable for their review. These studies included 171 patients who had 274 toe transfers. None of the studies directly compared toe transfers to other treatments. The results from these studies suggest that toe transfers can significantly improve a patient’s ability to do everyday activities, work, and overall satisfaction with their hands. The procedure also didn’t cause significant health problems at the site where the toe was taken. The results seem to be better for patients with less severe injuries and those who had at least two toes transferred. However, the researchers caution that there isn’t enough evidence to confidently say that toe transfers are effective for this type of hand deformity.

FAQs

  1. What is a toe-to-hand transfer procedure and why is it used?
  2. What did the research review find about the effectiveness and risks of toe-to-hand transfers?
  3. Is there enough evidence to confidently say that toe transfers are effective for hand deformities?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hand surgery is to follow post-operative instructions carefully to ensure proper healing and recovery. This may include keeping the hand elevated, avoiding strenuous activities, and attending follow-up appointments for monitoring progress. It is also important to communicate any concerns or changes in symptoms to the healthcare provider promptly. By following these guidelines, the patient can increase the likelihood of a successful outcome from the surgery.

Suitable For

Patients who are typically recommended hand surgery include those with:

  1. Traumatic injuries to the hand, such as amputations, crush injuries, or fractures
  2. Congenital hand deformities, such as syndactyly (webbed fingers) or polydactyly (extra fingers)
  3. Arthritis or other degenerative conditions affecting the hand joints
  4. Nerve compression syndromes, such as carpal tunnel syndrome
  5. Tendon injuries or disorders affecting hand function
  6. Soft tissue injuries, such as lacerations or burns
  7. Tumors or cysts in the hand or wrist
  8. Chronic pain or dysfunction in the hand that has not responded to conservative treatments.

Hand surgery can help improve hand function, alleviate pain, and restore aesthetics for patients with these conditions. It is important for patients to consult with a hand surgeon to determine the most appropriate treatment plan for their specific needs.

Timeline

Before hand surgery:

  • Patient experiences hand deformity or loss of function in the hand due to injury or medical condition
  • Patient consults with a hand surgeon to discuss treatment options
  • Patient undergoes pre-operative assessments and tests to determine the best course of action
  • Surgery date is scheduled and patient prepares for the procedure

After hand surgery:

  • Patient undergoes the surgery, which may involve toe-to-hand transfers in the case of thumb and multiple finger loss
  • Patient undergoes post-operative care and rehabilitation to aid in recovery and regain function in the hand
  • Patient may experience pain, swelling, and limited mobility in the hand initially after surgery
  • Over time, patient gradually regains strength and function in the hand through physical therapy and follow-up appointments with the surgeon
  • Patient may experience improved ability to perform everyday activities, work, and overall satisfaction with the hand after successful surgery and rehabilitation efforts.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with toe-to-hand transfers?
  2. How long is the recovery process and what can I expect during this time?
  3. What are the expected outcomes and success rates for this type of surgery?
  4. Are there any alternative treatments or procedures that I should consider?
  5. How many toe transfers have you performed and what is your experience with this type of surgery?
  6. What specific criteria make me a good candidate for toe-to-hand transfers?
  7. Will I need post-operative therapy or rehabilitation to regain function in my hand?
  8. How long do the results of toe transfers typically last?
  9. Are there any long-term effects or complications that I should be aware of?
  10. What is the cost associated with this surgery and will it be covered by insurance?

Reference

Authors: Nagrath N, Duggan E, Thurley N, Rodrigues JN. Journal: J Hand Surg Asian Pac Vol. 2022 Feb;27(1):32-42. doi: 10.1142/S2424835522500199. Epub 2022 Feb 9. PMID: 35135430