Advancements in Toe Transfer Surgery Improve Outcomes After Finger Amputation

Recent research highlights that toe transfer surgery can significantly enhance functional recovery in patients undergoing finger amputation. This surgical procedure involves relocating a toe to replace the missing finger, offering an alternative to traditional digit replantation. A comprehensive study published in Plastic and Reconstructive Surgery evaluated long-term results from 126 toe transfer procedures performed on 75 patients. The findings show that patients who received toe transfers experienced markedly better hand function compared to those who underwent attempted finger replantation. Using validated outcome assessments, such as the Michigan Hand Questionnaire, researchers found that toe transfer recipients scored approximately three times higher in hand function, a difference deemed clinically significant. Additionally, improvements in physical health, nerve sensation, and hand mobility were observed, with foot function remaining comparable to the general population post-surgery. Dr. Fu-Chan Wei emphasized that these results challenge the current standard that favors replantation, suggesting that toe transfer might be a more effective long-term solution for certain patients. The study demonstrates that incorporating toe transfer into treatment plans could address one of the leading causes of disability worldwide—digital amputations—by offering a viable and potentially superior alternative to replantation procedures. Overall, the evidence supports the consideration of toe transfer as a primary treatment option, especially when replantation is unfeasible or likely to be unsuccessful, paving the way for improved patient outcomes and quality of life.