MICROSURGICAL TOE-TO-HAND TRANSFER IN CHILDREN
Microsurgical autotransplantation of toes to hand is one of the best methods of reconstruction of fingers in children and adults. To analyze the 35 - years experience of microsurgical autotransplantation of toes to hand in children. The results of treatment 812 patients with congenital anomaly of the hand and acquired deformities of the upper extremity which was performed microsurgical toes to hand transfers from 1984 to 2019 years, were analyzed. Indications for microsurgical reconstruction of the hand in children were determined. Types of donor and recipient areas and early postoperative complications were analyzed. Performed 1298 microsurgical toe to hand transfers (1095 transplants). Aged 5±3,9 years. Patients with brachy- and ectrodactyly of the hand were dominated (75.6%). Frequently performed transposition of two toes from both feet (48.3%) or one toe (33%). 2-nd toe (index) or f 2-3 toes were transposed in 81%. In the recipient area, transplantation were performed to the position of 2-3 fingers (30%), 3-4 fingers (19%), 1 (18%) and 2 fingers (12%). Microcirculatory disorders were noted in 8.2% of cases in early postoperative period. Necrectomy in 2.3%. This technique is effective in children with congenital and acquired pathology of the hand. The microsurgical reconstruction of the hand provides restoration of the motor, sensitive function of the hand.