Painful foot neuromas after toe-to-thumb transfer

Christopher T. Maloney, Ramon DeJesus, A. Lee Dellon

Research output: Contribution to journalArticlepeer-review

Abstract

Reconstruction of the thumb by transfer of a toe has evolved technically to the point that this complex procedure can result in a mobile, sensate, and aesthetically pleasing digit that contributes to an almost-normally functioning hand. Donor site deformity is well recognized, primarily as it relates to the appearance of the foot after transfer of the hallux to the thumb position and stiffness of the remaining portions of the big toe. The present report describes donor site disability related to painful neuromas of the superficial and deep peroneal nerves and the common plantar digital nerve to the first webspace. Salvage of the disabled donor foot is possible by applying techniques used to treat painful neuromas of the upper extremity, neuroma resection, and muscle implantation. The specific techniques used in treating this painful foot donor site after toe-to-thumb transfer are described.

Original languageEnglish (US)
Pages (from-to)105-110
Number of pages6
JournalJournal of Hand Surgery
Volume30
Issue number1
DOIs
StatePublished - Jan 2005

Keywords

  • painful neuroma
  • toe transplant
  • Toe-to-thumb

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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