Toe-to-Finger Transplant

Before

Before undergoing a toe-to-finger transplant procedure, patients will engage in a thorough evaluation process. This phase involves a comprehensive medical assessment to ensure that the patient is an ideal candidate, taking into consideration factors such as overall health, the condition of the missing finger, and the availability of a suitable donor toe. The surgical team will discuss the procedure, potential risks, and expected outcomes with the patient. Additionally, a detailed plan for anesthesia and post-operative care will be established during this stage, and any necessary pre-operative preparations, such as imaging or blood tests, will be conducted to ensure a smooth surgical experience.

During

The actual toe-to-finger transplant procedure is a meticulously orchestrated surgical performance. It typically involves both the recipient and donor sites, requiring the expertise of plastic and orthopedic surgeons. Under general anesthesia, the surgical team harvests the donor toe, skillfully connecting blood vessels, nerves, tendons, and other tissues. Simultaneously, the recipient site undergoes meticulous preparation to receive the transplant. This phase often takes several hours as the surgeons delicately sew together the intricate components. 

The selection of a donor’s toe is dependent on which finger is being replaced. Most commonly, the second toe (the toe next to the big toe) is used for this procedure. In some cases, the big toe may be used.

Ensuring a robust blood supply to the transplanted toe is of paramount importance. The surgery concludes once all connections are secure, and the transplanted toe becomes a functional part of the hand.

After

Following a toe-to-finger transplant, the patient enters a critical phase of post-operative care and rehabilitation. The hand is typically placed in a protective splint or cast to immobilize it and allow the transplanted toe to heal. Some patients may be discharged after one night, while others may stay for a few days or longer, depending on their individual needs and how well they are recovering. 

Recovery

Following the initial healing period, rehabilitation is essential to achieve the maximal function of the hand. Light hand activity may begin a few days after the procedure, followed by the gradual integration of therapy exercises and strengthening activities. 

Sensory rehabilitation is also needed once the nerves have healed and the sensation begins to return to the transferred toe (usually 3-6 months after surgery). 

We are proud to work closely with hand therapists to create a comprehensive therapy plan following your surgery.