Del Piñal Francisco, García-Bernal Francisco J, Ayala Higinio, Cagigal Leopoldo, Regalado Javier, Studer Alexis
Instituto de Cirugía Plástica y de la Mano, Private Practice and Hospital Mutua Montañesa, Santander, Spain.
J Hand Surg Am. 2008 Dec;33(10):1820-5. doi: 10.1016/j.jhsa.2008.06.016.
Local vessel disease causing lack of arterial inflow at the time of toe harvesting represents a surgical emergency. In a personal experience of 194 toe transfers to the hand, 6 cases (in 4 patients) were found to have diseased vessels at the first web to the point that acute ischemia of the toe occurred when the tourniquet was released at the lower limb. We report our experience in these 6 cases.