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Toe-to-Hand Transfer in an Ulnar Hemimelia Patient

A Case Report

Sönmez, Erhan MD; Aksam, Ersin MD

doi: 10.1097/SAP.0000000000002011

Ulnar hemimelia is a rare congenital deformity. The severity of the deformity increases with the number of fingers that are absent. Clearly, grip function is impossible with a mono-finger hand. Here, we present a case report of a patient with bilateral ulnar hemimelia that included the absence of radial fingers and also deformity in the toes of his left foot. A toe-to-hand transfer was performed successfully to help the patient gain grip function. Both the patient and the parents were very pleased with the result. To our knowledge, this is the first case report of a patient with ulnar hemimelia and absent radial fingers who was treated with a toe-to-hand transfer.

The most important factors in a successful surgery are careful preoperative planning and microsurgical expertise. Angiography is the key to careful planning, and physiotherapy should also be done to increase the patient's functions. The psychological well-being of patients and parents will be positively affected after a successful surgery.

From the Department of Plastic, Reconstructive and Aesthetic Surgery, Ataturk Training and Research Hospital, Izmir Katip Celebi University, Izmir, Turkey.

Received February 25, 2019, and accepted for publication, after revision May 6, 2019.

Conflicts of interest and sources of funding: none declared.

Reprints: Erhan Sönmez, MD, Prof. Izmir Katip Celebi Universitesi, Basin Sitesi Mahallesi, Atatürk Eğitim ve Araştirma Hastanesi, Plastik Cerrahi Klinigi, 35360 Karabağlar/İzmir, Turkey. E-mail:

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Online date: July 22, 2019

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