
Die Übertragung Ihres eigenen Zehs, um Ihren amputierten Finger zu ersetzen, ist besser als die Wiederholung des amputierten Fingers und findet eine neue Studie. Die Handfunktionswerte waren mit der Zehenübertragung im Vergleich zur Finger -Replantation dreimal höher. Je schwerer die Verletzung ist, desto größer ist das Ausmaß der Verbesserung.
https://www.plasticsurgery.org/news/press-releases/toe-transfer-surgery-may-improve-outcomes-after-finger-amputation

11 Kommentare
I’ve linked to the press release in the post above. In this comment, for those interested, here’s the link to the peer reviewed journal article:
https://journals.lww.com/plasreconsurg/fulltext/2025/08000/toe_transfers_outperform_replantation_after_digit.17.aspx
From the linked article:
Toe Transfer Surgery May Improve Outcomes After Finger Amputation
**For patients with amputations affecting the hand, toe transfer surgery provides an alternative to replanting the amputated digits** – and may lead to greater improvement in hand function and other key outcomes, reports a study in the August issue of Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons (ASPS).
Amputations of the fingers and thumb are common injuries, affecting about 45,000 people per year in the United States alone. Digit amputations can leave patients with years of disability, especially if the thumb is lost. Emergency replantation of the amputated digit is the current standard or treatment, but is sometimes impossible or unsuccessful.
**On the validated Michigan Hand Questionnaire, hand function was significantly better for patients undergoing toe transfer, compared to replantation. The difference in favor of toe transfer was substantial, with hand function scores about three times higher than the benefit considered clinically important. The more severe the injury, the greater the magnitude of improvement after toe transfer surgery.**
Patients in the toe transfer group also had greater improvement in physical health-related quality of life, assessed using the standard SF-36 score. Foot function after toe transfer surgery was comparable to that in the general population.
This seems to suggest that toes actually function as fingers extremely effectively, which makes sense if I think about it for a minute.
Huh, wonder how much of the finger needs to be intact for this to be successful given how much smaller toes are??
I’ll take the lightly less functional finger, thanks.
I mean? Maybe. But then you also lost a toe…. And have a toe on your hand. So, debatable.
The sample size of the study is a lot larger than I would have thought
The study „analyzed long-term outcomes of 126 toe transfer procedures in 75 patients after digital amputation. Hand function and other patient-reported outcomes were compared to those of 96 replantation procedures in 52 patients“
Hmm I wonder if this could be a viable treatment for people who have arthritis in their fingers but not their toes, or other finger RSI issues. While it turns out I don’t have arthritis, the doctor thought my hand issues might be that. And I can say I’d definitely trade my toes for functional hands.
Which would function better as a finger? A toe surgically removed in a controlled setting and attached or a finger that sliced off and mangled in an accident prior to reattaching? But seriously when I was growing up the guy that worked at Blockbuster must have had a severe hand injury because he had several toes replacing fingers, he typed just fine on those blockbuster keyboards.
Also just as an aside, my daughter doesn’t say “big toe”, she says, “toe thumbs” and it is too cute for me to correct.
I would imagine that this would likely be because the toe would be cleanly and carefully removed, instead of whatever damage happened to lose the finger, plus the toe is „fresher“ for transplant, as one is unlikely to be in a hospital surgery room when one accidentally loses one’s finger. Both of those factors would favor the toe.
However, one also loses a toe from one’s foot that way. I think I would rather have my finger reattached, though I suppose it would depend on the specific details of the particular case.
How tf is that going to help me count to 20?
can i then attach my amputated finger where my toe was?