| |
 FIG. 3-70. Restoration of digital length was achieved. The patient hoped to become a
professional actress.
 FIG. 3-71. The ability to grasp large objects has been improved.
 FIG. 3-72. The ability to grasp smaller objects has also been improved.
CASE 15
The hand of a young airline ticket agent had been trapped under a conveyor belt, resulting in avulsive loss of the index, long, and ring fingers.
 FIG. 3-73. Immediate post-injury appearance of the hand. The thumb and little fingers were spared injury.
 FIG. 3-74. The amputation stumps were extremely painful and completely nonfunctional. The patient almost developed a sympathetic dystrophy owing to the digital neuroma pain.
 FIG. 3-75. The second toe of the right foot was first transplanted to the ring position, anastomosing the toe vessels to the common volar digital vessels of the fourth web space. Several months later, the second toe from the left foot was transplanted to long finger position, using the vessels from the second web space.
|
|
 FIG. 3-76. The transplanted toes look more like digits every day. The donor defects on the feet are minimal and acceptable.
 FIG. 3-77. Tubular grip for a relatively small object has been restored.
 FIG. 3-78. The tubular grip for a large object is shown. The patient's pain has subsided and she is now active again in sports and back at work.
 FIG. 3-79. The patient has regained a remarkable degree of dexterity in manipulating small objects.
 FIG. 3-80. The patient is also able to shuffle cards.
CASE 16
This patient had a severe hand injury, with loss of the index and long fingers through the proximal phalanx and of the ring finger through the distal phalanx.
 FIG. 3-81. The patient has a normal thumb and little finger but lacks three-finger pinch and good grasp. A double-toe transplant is planned, using the second toe from each foot, to the index and long finger positions.
next page... |
