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Toe Transfer - Doctors Talk | Meitra Hospital Calicut | Dr Febin The toe-to-hand transfer is one of several treatment options for children who have conditions similar to the loss of a number due to illness, injury, symbrachydactyly, or amniotic band pattern/ ring condensation pattern. It's a complex operation to reconstruct the hand using the toe next to the big toe. This is usually the most suitable toe and contains the joints, tendons, tissues, and nails to make a good finger. The toe is removed from the bottom, taking with it all the associated blood vessels, jitters, bones, and tendons, and also is scattered to the hand. It is important to remember that, even after the transfer, the new digit will only have the range of movement of a toe and it will continue to grow like a toe. It has a nail and joints which can bend and unbend, although not as important as cutlet joints. It will also still have nerve sensation (feeling). The toe may be used either to replace the thumb or to replace a finger, giving the thumb something to pinch against (to form a pinch grip). If there are no digits on the hand at all, the operation is usually more successful if the child can ‘cup’ the palm of his or her hand. Toe to hand transfer is more effective if one of your child’s feet has formed normally. If there is any abnormality, the operation may not be possible, may be more difficult than usual or may not achieve such a good result. Although the toe next to the big toe is the most suitable, occasionally the big toe is used but this usually affects the general appearance of the foot. A toe from the other foot can also be transplanted in the same way, either in one longer operation or separately. Removing one toe leaves a foot reduced in width, with four toes present. The gap where the toe was removed is closed and a scar will remain on the top of the foot. Removal of the second toe does not have any functional impact on walking, running or jumping and often children are walking on it after a couple of days. It also does not affect footwear and your child can continue wearing normal shoes after the surgery. #toetransfer #doctorstalk #meitra #kozhikode #calicut