Reconstruction of the amputated thumb using great toe transfer and dual bone lengthening technique with an Ilizarov mini-fixator
Issued Date
2026-01-01
Resource Type
ISSN
09743227
eISSN
09746897
Scopus ID
2-s2.0-105025924576
Journal Title
Journal of Hand and Microsurgery
Volume
18
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Hand and Microsurgery Vol.18 No.1 (2026)
Suggested Citation
Gotani H., Miyashima Y., Charoenpol T., Sasaki K., Yagi H., Siripoonyothai S., Tsujimoto J., Kimura H., Murakami Y., Tsuchiya T. Reconstruction of the amputated thumb using great toe transfer and dual bone lengthening technique with an Ilizarov mini-fixator. Journal of Hand and Microsurgery Vol.18 No.1 (2026). doi:10.1016/j.jham.2025.100394 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/114613
Title
Reconstruction of the amputated thumb using great toe transfer and dual bone lengthening technique with an Ilizarov mini-fixator
Corresponding Author(s)
Other Contributor(s)
Abstract
Purpose The purpose of this study was to introduce the thumb reconstruction technique both by microsurgical reconstruction using a great toe transfer and dual bone lengthening technique with an Ilizarov mini-fixator for the fingers. Methods The great toe was transferred to the amputated thumb, followed by a bone lengthening procedure for the residual metacarpal bone to enable easy pinching. During the metacarpal bone lengthening, osteotomy was performed at two sites to shorten the period of bone fusion. Results The great toe transfer was performed successfully and metacarpal bone fusion was achieved earlier than usual by dual osteotomy technique, allowing the patients to eventually resume their previous jobs. Conclusion Our procedure reported herein, i.e., great toe transfer by microsurgery + dual osteotomy distraction lengthening, seems to serve as a useful procedure for thumb reconstruction from both cosmetic and functional improvement.