Ectopic banking of amputated great toe for delayed thumb reconstruction: Case report

Ian L. Valerio, Helen G. Hui-Chou, Jonathan Zelken, Patrick L. Basile, Derek Ipsen, James P. Higgins

Research output: Contribution to journalArticlepeer-review


Ectopic banking of amputated parts is a recognized technique for delayed replantation of an amputated part when the amputation stump will not permit immediate replantation. This is conventionally performed with the intent of transferring the injured part back to its anatomic position when the amputation stump is more appropriate for replantation. Current warfare conditions have led to a commonly encountered military trauma injury pattern of multiple extremity amputations with protected trunk and core structures. This pattern poses many challenges, including the limit or absence of donor sites for immediate or delayed flap reconstructive procedures. We describe a case in which we ectopically banked the great toe of an amputated lower extremity for delayed thumb reconstruction.

Original languageEnglish (US)
Pages (from-to)1323-1326
Number of pages4
JournalJournal of Hand Surgery
Issue number7
StatePublished - Jul 2014


  • Ectopic banking
  • blast injury
  • extremity salvage
  • heterotopic banking
  • toe-to-thumb transfer

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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