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At least 793 records · Page 44Linked to original sources
PubMed1988

Relationship between nurses' assessments of perfusion and toe temperature in pediatric patients with cardiovascular disease.

This descriptive study reports on 17 children who had undergone open-heart surgery. The children were assessed for 6 hours after surgery and once at 18 hours after operation to determine relationship between two scales assessing peripheral perfusion and the temperature of the great toe. There were 119 individual assessments. The scales used to assess the quality of peripheral pulses, extremity warmth, and capillary refill were (1) those representative of assessment scales used in common nursing practice and (2) more specific scales that attempt to "quantify" the qualitative assessment of peripheral perfusion. The more specific set of scales was used by "trained observers," with the bedside nurse using the nurses' scales. Results demonstrated that both sets of scales and observers were accurate in assessing peripheral perfusion as measured by the actual toe temperature. Analyses revealed which scales were better than others, and a method of assessing peripheral perfusion that includes the best components of all scales is suggested.

Adolescent↗
PubMed1986

[Toe transfer to a mid-hand stump covered with abdominal skin].

Following amputation of all four fingers from the hand, the cover of the amputation site with an abdominal flap gives a hand which is functionally inferior. This paper reports our experiences of three toe transfers to such a hand in two patients, one a 22-year-old man, the other, a 50-year-old woman. In our opinion, the toe transfer will be successful if the vessels, nerves and tendons are harvested to the level of the extensor retinaculum, giving a length in excess of the skeleton of some 12-15 cm. The routing of these structures beneath the abdominal flap is done in such a way as to avoid any ischemia and therefore, infection. In the first case, these latter considerations were not fully observed and in the third postoperative week, arterial thrombosis with loss of the transfer developed, following an infection. The two other transposed digits have survived with a good functional result.

Adult↗
PubMed1987

Inverted variant of carcinoma cuniculatum of the toe.

An inverted variant of carcinoma cuniculatum of the great toe of a 55-year-old man is reported. Clinically the tumor presented as an inflammatory process of the toe with purulent drainage and bone destruction in the absence of cutaneous ulcer or exophytic growth. It was characterized histologically by endophytic sheets and cords of well-differentiated keratinizing squamous epithelium with minimal cellular atypia and numerous intraepithelial keratin cysts and microabscesses. The diagnostic challenge of the clinical presentation of this variant is emphasized.

Amputation, Surgical↗
PubMed1985

Thumb reconstruction using second-toe transfer.

Although toe transfer is a relatively new operation, its early results have been highly satisfactory. This article presents the author's experience from 1977 to 1983 with a total of 45 thumb reconstructions using the second toe. All but three of these patients have resumed employment.

Adolescent↗
PubMed1985

Reconstruction of congenital hand defects with microvascular toe transfers.

From 1977 through 1984, the author transferred 49 toes in 38 patients to treat congenital defects of the hand. Eleven patients had successful transfer of two toes from different feet, with a six-month interval between operations. There was one failure in a 16-month-old infant with finger aplasia. On the basis of this experience, the author has refined his indications and timing, which are as precise and well defined as the technique.

Adolescent↗
PubMed1985

[Toe transfer].

Today toe-to-hand transfer by micro-anastomoses is one of the most important methods in reconstructing severely injured hands. An experienced surgeon will obtain a survival rate of the transplant in about 94 to 96% of cases. All measures required can be performed by only one operation. The free toe-to-hand transfer guarantees the best functional and aesthetic results so far known.

Amputation, Traumatic↗
PubMed1985

[Problems in the surgical technic used in free toe transfer].

Based on the experiences of sixteen toe-to-hand transfers (nine for thumb reconstruction, seven for finger replacement), some technical problems of the operation are discussed. On the foot the incision should be planned in such a way that the wound can be closed directly to achieve a better aesthetic result The excision of the distal third of the second metatarsal bone marrows the foot, which improves the later appearance. On the hand deeper skin defects with exposed bone are easily closed by a forearm-island flap based on the distal radial artery. The rotation of the head of the transferred metatarsal into hyperextension gives the MP-joint much more excursion in flexion. If the great toe is used for thumb reconstruction and a new basal joint is necessary, this can be reconstructed with the dorsal half of the head of the first metatarsal, while its plantar half remains in the foot for weight bearing. The mobility of the new thumb was excellent following this procedure.

Adolescent↗
PubMedDate not supplied

Dynamic electromyography analysis of habitual toe-walkers.

The distinction between congenital short tendo calcaneus and mild cerebral palsy may often be difficult to ascertain by standard physical examination. Dynamic electromyography (EMG) was used to study the muscular activity during walking of four children who had a clinical diagnosis of congenital short tendo calcaneus. Two children displayed EMG evidence of cerebral palsy, while two had studies similar to normal children walking on their toes. Dynamic EMG may be a useful diagnostic tool in the evaluation of children with toe-walking.

Achilles Tendon↗
PubMed1979

[Strangulation of the toes by hair (author's transl)].

The purpose of this report is to call attention to human hair as a potential source of injury to young children's toes. The toe tourniquest syndrom is an entity described by Quinn but the autors suspected intentional wrapping.

Foot Diseases↗
PubMed1979

[Successive encephalic ischemic accidents in a young patient: Buerger's disease, buergerian syndrome, or juvenile atheroma? A report in clinical, angiographic, and anatomical findings in one case, compared to three other ones, in which a biopsy of the pulp of the toes was also performed (author's transl)].

A man of 19 years of age was found to have a diffuse livedo, a quadruple asphyxic acrosyndrome, and dementia. Angiography confirmed the presence of distal ischemia with multiple circulatory blocks and a reduced distal network. The patient died at the age of 25 years and histopathological examinations of the vessels demonstrated obstructive atheromatous lesions in the medium sized and small arteries of the brain and viscera. By comparing these findings with those observed in three other cases, in which biopsy of the pulp of the toe was also performed, the hypothesis can be advanced that these juvenile encephalic ischemic accidents are caused by atheroma, which can be detected, at an early stage, by studying the distal arteries in the finger or toe pulp.

Adult↗
PubMed1979

[Malignant melanomas of fingers and toes (author's transl)].

From 1968 to 1978 more than 500 patients suffering from histologically verified malignant melanoma were seen. Only in 12 cases (appr. 2%) the tumour was situated on the tip of the fingers and toes. In such cases nowadays amputation and exarticulation of the whole extremity is no longer practiced. It is sufficient only to remove the corresponding finger or toe. Additional chemotherapy should supplement surgery.

Adult↗
PubMed1982

Surgical criteria for correcting the overlapping fifth toe.

Overlapping fifth toe, which is a varus deformity, usually occurs bilaterally and is a common familial deformity. It may be mild or severe and symptomatic or asymptomatic. The author discusses eight patients with overlapping varus deformity of the fifth toe and the various surgical procedures that may be used for correction.

Adolescent↗
PubMedDate not supplied

Thumb and digit reconstruction: toe-to-hand microvascular composite tissue transplantation.

Methods of finger reconstruction using a free toe transplantation are described. The thumb, and in some particular cases also the index finger, can be successfully replaced by toes using microsurgical techniques for vascular and nervous anastomosis. Functional results are quite satisfactory and allow the patient to recover complete use of the hand.

Amputation, Traumatic↗
PubMed1981

Toe-to-hand free tissue transfer for thumb construction with multiple digit aplasia.

Successful one-stage toe-to-hand free tissue transfers were performed for bilateral aplasia of the radial digits of both hands in a 9-year-old boy with associated congenital bilateral cleft foot deformity. The results indicate that toe-to-hand free tissue transfer can successfully create a functional, movable, sensate, radial, prehensile digit in hands that are markedly deficient in local reconstructive tissues.

Abnormalities, Multiple↗
PubMed1993

Improvisation in wrap-around toe-to-thumb transfer.

Wrap-around partial great toe transfer, a one time dream, is now a well established and universally accepted method of thumb reconstruction. In this technique, part of the soft tissue of the great toe are wrapped around and shaped to the size of the graft from iliac bone in such a manner that a thumb of normal dimensions and shape is produced. Instead of the iliac bone graft, we found great merit in using the second metacarpal from the traumatised hand to be reconstructed. In this paper its use and merits are elaborated.

Amputation, Traumatic↗
PubMed1994

[Evaluation of surgical treatment for congenital over-riding fifth toe].

Results of treatment for congenital varus fifth toe in 18 patients (20 feet) are discussed. The age at operation ranged from 2 to 28 years, different procedures were performed. The patients were followed-up for 1-8 years. Long extensor of the fifth toe transfer (Assman and Lapidus procedures) rendered better both cosmetic and functional results then corrective subcapital osteotomy of the fifth metatarsal.

Adolescent↗
PubMed1994

[Emergency reconstruction using partial transfer of toes. Apropos of 6 cases].

The authors report on 6 cases for which an emergency toe partial transfer was performed for the reconstruction of a thumb or long finger digital segment. In most cases, toe pulp transfer was involved, but also partial composite pulp-bone-nail transfers. Such technique, whose indications seldom apply in an emergency, gives better results than conventional techniques (such as homo- and hetero-digital flaps or distant flaps).

Adolescent↗
PubMed1995

[Intraosseous epidermoid cysts of the toe phalanx in dogs].

Out of 1057 amputated canine toes with tumours, tumour-like or other lesions, 17 cases were histopathologically diagnosed as epidermoid cysts of the terminal phalanx (EP). They were accompanied by osteolysis, reactive bone formation and chronic inflammation of phalanx 3. Extension of reactive changes to the phalangeal joint and phalanx 2 was less frequent. Various breeds were involved. There was no breed predisposition. The average age was 10.8 years; the male-female ratio 2.4:1. Nine EP were located on the forelimbs, 4 on the hindlimbs. In 4 cases location was unknown. Toes 4 and 5 were most frequently affected. A traumatic origin is suspected.

Animals↗