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Toe Transfer for Thumb and Finger Reconstruction

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Advanced reconstructive microsurgery lecture for surgeons and trainees

In this educational webinar, Prof. Fu-Chan Wei shares his extensive experience in toe-to-thumb and toe-to-finger transfer for complex hand reconstruction. The lecture focuses on restoring function after traumatic thumb and finger loss, with special attention to microsurgical planning, choice of donor toe, reconstruction strategy, and long-term outcomes.

Participants will explore:
- indications for toe transfer in thumb and finger reconstruction;
- timing of reconstruction in acute, subacute, and delayed settings;
- selection between great toe, trimmed great toe, and second toe transfer;
- positioning, length, contour, and opposition in thumb reconstruction;
- combined toe transfers in multi-digit injuries;
- donor-site management and functional considerations for the foot;
- rehabilitation principles and postoperative recovery;
- practical discussion of outcomes in severe upper-limb trauma.

This lecture is especially valuable for surgeons working in plastic and reconstructive surgery, hand surgery, trauma reconstruction, and microsurgery, and is highly relevant for teams managing devastating extremity injuries in both civilian and wartime settings.
PRAS-04

Course

Upper Extremity and Hand Reconstruction: From Congenital Anomalies to Complex Trauma

01 45:14 Reconstruction of Post-Traumatic Tissue Defects of the Upper ExtremityA practical lecture on staged reconstruction after severe upper-limb war trauma: soft-tissue coverage, bone defects, nerve repair, fixation timing, microsurgery, and case-based decision-making. 02 54:36 Basic Principles of Surgical Treatment and Postoperative Management of SyndactylyA practical overview of syndactyly surgery, from timing and incision design to full-thickness skin grafting and the often underestimated challenge of postoperative immobilization in young children. 03 1:02:11 Surgical Restoration of Thumb OppositionA focused lecture on restoring thumb opposition after nerve injury and complex hand trauma, with a practical comparison of tendon and muscle transfer techniques. 04 1:03:36 Replantation Surgery: Experience, Decision-Making and Practical AlgorithmsA practical look at replantation surgery built around real clinical cases, from patient selection and correct transport of amputated segments to microsurgical reconstruction, salvage strategies and staged rehabilitation. 05 1:42:12 Microsurgical Reconstruction of the Upper Extremity in a Level 1 Trauma CenterA practical look at complex upper-extremity trauma reconstruction, from aggressive debridement and limb-salvage decisions to free flaps, nerve grafts, flow-through flaps and functional rehabilitation. 06 1:40:27 The Role of Hand Therapy in Restoring Upper Limb Function After Trauma and SurgeryA practical introduction to hand therapy and the often underestimated role of edema management in protecting motion, preventing stiffness, and improving recovery after hand trauma and surgery. 07 1:05:39 Spaghetti Wrist Injury: Repair Strategy, Microsurgery and RehabilitationA practical lecture on complex volar forearm injuries involving multiple tendons, nerves and arteries—from injury mechanism and operative sequencing to microsurgical repair, immobilization and long-term hand rehabilitation. 08 1:31:56 Now playing Toe Transfer for Thumb and Finger ReconstructionAn advanced lecture by Prof. Fu-Chan Wei on toe-to-thumb and toe-to-finger transfer in complex hand reconstruction, including indications, surgical planning, technique selection, functional outcomes, donor-site considerations, and rehabilitation. 09 1:32:17 Management of Gunshot Injuries to Peripheral NervesAn evidence-informed lecture on diagnosing and reconstructing gunshot peripheral nerve injuries in polystructural limb trauma. Andrii Vysak combines a treatment algorithm, clinical cases, and practical decisions on timing, ultrasound, EMG, nerve grafting, and tendon transfers.
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