Mostly trauma, but less frequently congenital defect in the fingers may occur. In this case, if the number of missing fingers cannot fulfill the holding function of the hand, it may be necessary to transfer from the toes to the hand. In this technique, it is the formula that gives the best results among the finger reconstruction methods of plastic surgery, as repairs are made with the toes that are the most functionally and aesthetically similar to the fingers of the fingers. According to the order of frequency, the thumb comes first in finger transfers from foot to hand, while the index and long fingers follow this order. Transplantation of two toes may give more appropriate results, especially in patients who do not have fingers other than the thumb. In this way, in addition to grasping coarse objects, it can also hold objects such as pencils, which we call fine grasping.
Studies have shown that while adult patients have little chance of accepting this surgery, they can accept it more comfortably for their children. Accompanied by my clinical experience and scientific knowledge, these surgeries give perfect results for the maximum function and aesthetics of the hand for everyone except the of very advanced age. The most valuable concern from my patients is that they will lose their walking function or encounter aesthetic problems when their toes are moved to the hand. The two most valuable points in the walking function of the foot are the heel and the resting surface at the end of the toe. There is no loss of form in walking function due to the fact that the heel remains intact and the fulcrum of the remaining toes is solid. Even in patients who have two fingers, especially one finger, no obvious aesthetic problem is noticed when the number of fingers is not paid much attention to the outside.
The most valuable point here is to evaluate the interests on the scales of the scales compared to the losses. I think that this aesthetic loss in the toes is not very valuable when getting a hand that is close to the ordinary both aesthetically and functionally with a nail structure that is completely dysfunctional.
Below you will see the result of the operation on my pediatric patient who had his hand caught in the meat grinder. Fine and coarse grasping movements were obtained in a completely dysfunctional hand and my patient returned to his normal life. Aesthetic loss in the foot is at an acceptable level.