Great toe transfer survival after thrombosis at 7 days

Great toe transfer survival after thrombosis at 7 days Eur J Plast Surg (2013) 36:211–212 DOI 10.1007/s00238-012-0744-9 LETTER TO THE EDITOR Roberto Adani & Lara Lazzaro & Luigi Tarallo Received: 30 May 2012 /Accepted: 21 June 2012 /Published online: 10 July 2012 Springer-Verlag 2012 Sir, examination revealed a sluggish capillary refill, no bleeding Survival of a great toe transfer depends on pedicle paten- from pin pricks on the tip of the reconstructed thumb and no cy immediately postoperatively, as with all microvascular Doppler signal at the microvascular anastomosis level. The free flaps. Over time, neovascularisation from the recipient patient returned to the operating room for re-exploration bed and surrounding wound margins into the graft may be which showed complete thrombosis of the vascular pedicle sufficient to maintain flap viability independent of the pri- (Fig. 1). All attempts at reanastomosis failed due to the exten- mary vascular pedicle. It is not known how long the flow in sive thrombosis throughout the vascular system of the flap. the pedicle must persist for the flap to survive and there is no The patient was hospitalized and received intravenous heparin clear consensus regarding when free flaps become com- and dextran. He was discharged 2 days later without signs of pletely independent of European Journal of Plastic Surgery Springer Journals

Great toe transfer survival after thrombosis at 7 days

Loading next page...
Copyright © 2013 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site


  • Free flap survival despite early loss of the vascular pedicle
    Wise, SR; Harsha, WJ; Kim, N; Hayden, RE
  • Early rupture of the arterial anastomoses with free flap survival
    Skrbic, S; Stanec, Z

You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial