Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
 
TOE TO HAND TRANSFER


WHAT YOU SHOULD KNOW

Severe hand trauma can result in amputation of one or more digits. The most elegant method to reconstruct a missing digit is to use the body part that is the most similar to it, a toe. The second toe, next door to the big toe, is the one most commonly used for reconstruction. There are two indications to consider performing a toe to hand reconstruction. The first is when the amputation is beyond the middle joint of the finger and that joint has good motion. Excellent restoration of digit function can occur in this situation. The other indication is when the hand has lost so many digits that the minimum criteria of two fingers that can form a tripod pinch with the thumb does not exist.

MEDICAL HISTORY

Patients may have already a number of surgeries performed when first appearing in the reconstructive microsurgery clinic. Patients should bring the typed operative reports of these other operations to be reviewed. Important details of the anatomy left behind after the former surgeries are essential in planning the upcoming reconstruction.

EXAMINATION

The location and degree of scar tissue, freedom of joint movement, and level of amputation are closely examined along with all other functions of the affected and the opposite hand.

ADDITIONAL TESTS

If there is any question regarding the anatomy of the blood vessels left behind in the hand, it will be necessary to obtain a picture called an angiogram after injecting dye into vessels using an inserted catheter.

TREATMENT OPTIONS

  SECOND TOE TRANSFER GREAT TRANSFER
CONSISTS OF Whole or partial toe transfer Usually only partial toe transfer or combined parts with some from the second toe
FEATURES All parts needed by the finger are taken from the toe Usually used only in reconstruction of damage to the thumb
ADVANTAGES Can obtain longer transfer by taking bone from the foot level (metatarsal) Better strength, size match better (too large if not trimmed)
DISADVANTAGES For thumb reconstruction is too small and makes a weaker transfer More disturbance of walking ability proportionate to amount of tissue taken in transfer

RECOVERY

The small connections between blood vessels that have been sewn together can clot easily. The patient stays in the hospital for 5 days after surgery for close observation and to receive continuous anticoagulant medication by vein. After hospital discharge, outpatient rehabilitation begins with exercises for motion and control of swelling. The tendon connections must be moved frequently to avoid stiffness. Nerve regrowth is slow and the tips of the new digit do not gain feeling for many months. Forceful gripping and pinching activities are not allowed until after full bone and tendon healing occurs at around 2 months.
 
 
 
Back to Medical Conditions
 
 


  • thank you, you all were very helpful - 03/03/17
  • Very professional - 03/30/17
  • Very pleased with the staff and Dr. Henry. Would highly recommend Dr. Henry to my family and friends in the future. Love this place!!! - 09/07/16
  • Amazing Doctor and staff. - 11/16/16
  • Love the Doctor and his staff. - 02/08/17
  • I am feeling so much better! My hands do not fall asleep and I do not drop things anymore. Yah! Thank you so much! - 09/16/16
  • Amazing services and results. Unique experience - 10/31/16
  • Great Appoitnment - 05/11/17
  • ;) - 09/08/16
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • thank you - 02/09/17
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • This was my last visit and I'll miss y'all. - 03/29/17
  • very good at explaining how I should take care of my thumbs and always answered any question I had regarding my health issue I was very pleased with my visit and the care I got at both visits - 03/07/17
  • Great detailed information. - 11/03/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • Great friendly staff - 10/28/16
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • thank you for helping me - 02/03/17
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • All the staff and Doctor Henry were great! - 05/01/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • great job! - 03/20/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Awesome as always! - 10/11/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Luis was very kind and helpful with all of my questions and concerns. He also assisted me with obtaining supplies for my brace and hand until I can get to therapy. - 10/21/16
  • Great staff, Great Doctor, Great surgery, recovery, and follow up. Thank you for the time and attention with helping me through the entire process. I felt very comfortable and safe with the entire process. - 02/10/17
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • Thank you for the hard work and excellent care. If ever I need this type of care again I will be knocking on your door. I've already recommended your services to others. Thanks Again! - 03/07/17
  • At every interaction with your office: consultation with Dr. Henry, day of surgery, need for prescription refills, all follow-up visits, I felt comfortable, welcome, and well informed. On the day of my last visit, I am very optimistic about the function of my left hand. Thank you. - 09/07/16
  • Awesome experience. Luis rocks! - 04/06/17
  • thank you for all you have done! I recommend you foranyone that is having any problems via hand wrist. Amazing surgon and doctor!!! - 02/01/17
  • We have had the best experience here. The staff has always accommodated us and since Tyler is only 10, they always go out of their way to make sure we are comfortable. I have and will continue to recommend Dr. Henry and his staff to anyone I know. Thanks! - 02/28/17
  • The Doc is awesome and his staff is on their game, the wait can be a little long but you get that when you are dealing with elite care. - 09/19/16
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Great work. - 02/03/17
  • always outstanding service! - 04/12/17
  • I have never doubted I was in the best possible hands here. I cannot correctly express my gratitude. Thank you all very, very much for everything you've done for me. - 11/09/16
  • :) - 05/11/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • The entire team at the Hand and Wrist Center is outstanding. They made the recovery so smooth and comforting from the courteous receptionists, excellent occupational therapist, attentive medical assistants, and brilliant doctor. Thank you! - 03/31/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Luis was great as well. - 01/04/17
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • Thank you! - 03/08/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • joel was also my assistant but everything was great - 03/07/17
  • Had a wonderful experience overall. Breaking my arm was tough but the staff here was always very, kind and helpful. Especially Dr. Henry, Mary, Karen, Luis, Joel, Teresa and David. I'll miss them all but hopeful won't have to see them any time soon :)Thank you! - 05/04/17
  • The doctor was very informative and provided me with a solution quickly and I really appreciate that in this day and age. This is an awesome institution. - 03/02/17
  • I enjoyed my visit - 11/14/16
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • Awesome staff.. - 09/26/16
  • Everyone is always nice - 12/14/16
  • Great Appoitnment - 05/11/17
  • great - 10/06/16
  • Dr. Henry and each and every one of the staff we met exhibited a spirit of excellence in every area. From the first visit we were comfortable and confident that we would be well taken care of. - 09/28/16
  • Everyone was great and very helpful. Our family really appreciates the medical attention my son received from his injury. Thank you so much. - 11/01/16
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Great staff and speedy process! - 04/14/17
  • Very knowledgeable about the possible procedures the could be preformed! Dr. Henry is a very honest person and I appreciate that in a man more than anything. He gave me truth and not what I wanted to hear! Thanks - 04/04/17
  • very helpful staff - 01/16/17
  • Thank you for the help. - 11/10/16
  • This was only a consult, but I felt that I was leaving with enough information and a plan on the next step needing to be taken. - 09/26/16
  • The staff was great. David was very helpful with my surgery scheduling and questions. Luis was fabulous when I needed help with changing my dressing. Joel was nice helping me with the undoing of the dressing. Great group to be a patient of. - 12/13/16
  • Thank you to everyone here with my surgery and healing process! I really felt comfortable with everyone on the staff and feel as though I came to the best place possible for my surgery. THANK YOU!!!! - 09/09/16
  • I was impressed at how fast I was able to get an appointment. The staff was very helpful and the doctor was amazing! - 12/08/16
  • Great staff. - 05/02/17
  • Staff is always friendly and helpful. I will definitely recommend this office. Dr. Henry is a very skilled surgeon and went out of his way to make sure I understood my procedure and the rehabilitation process. - 03/24/17
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • I will definitely recommend your practice to my friends and family. Thank you very much for seeing me and for the very detailed explanation! - 10/14/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Wonderful work no issues - 11/17/16
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • very impressed with the whole experience. - 02/28/17
  • Dr. Henry has the best verbal skills I have witness on a physician; and, I have been a physician myself for decades! - 12/01/16










Site maintained by Dan Cutts© Copyright 2017 Hand and Wrist Center of Houston