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Case report| Volume 60, ISSUE 7, P856-860, July 2007

Temporary ectopic implantation of digits prior to reconstruction of a hand without metacarpals

  • J.E. Tomlinson
    Affiliations
    Department of Plastic and Reconstructive Surgery, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK
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  • M.S.U. Hassan
    Affiliations
    Department of Plastic and Reconstructive Surgery, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK
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  • S.P. Kay
    Correspondence
    Corresponding author. Address: St James's University Hospital, Department of Plastic Reconstructive Surgery, Chancellors Wing, Beckett Street, Leeds LS9 7TF, United Kingdom. Tel.: +44 113 2065265; fax: +44 113 2066135.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK
    Search for articles by this author

      Summary

      Temporary ectopic implantation has been described for a variety of injuries, with several different implantation sites used. Although varied results have been achieved, many feel this technique has a role to play under special circumstances. We describe the ectopic implantation of digits to the contralateral forearm, with subsequent reconstruction of the injured hand when combined with microvascular toe transfer. The outcome was a functionally useful hand which could be incorporated into daily life, and a cosmetic appearance preferable to that of amputation. We feel ectopic implantation still has a valuable role to play in carefully selected cases.

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