Microvascular Toe-to-thumb Transfer After High-voltage Electrical Burn: A Case Series and a Narrative Review
Dana Bregman, Eloise Stanton, Peggy Ebner, Anna C. Howell, Saeed Mohammed, Milan Stevanovic · 2026
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Description
Dana Bregman and five co-authors wrote this 2026 report on rebuilding thumbs from toes after devastating electrical burns. High-voltage injuries destroy tissue unpredictably, and the blood vessels a surgeon must connect may be damaged far beyond the visible burn, making microsurgery a gamble. Their series covers two patients and three thumbs lost to electrical injury.
Using free toe-to-thumb transfers, the team rebuilt one patient's thumb and both of the other's. Every transfer survived. Both patients regained feeling, motion, and pinch strength strong enough for daily life, with little cost at the donor foot. The authors argue the operation deserves consideration even in this hardest injury class, where many would assume the vessels too unreliable. Careful case selection and respect for the hidden zone of injury, they suggest, are what make the gamble pay.
Catalog record
| CREATOR | Dana Bregman, Eloise Stanton, Peggy Ebner, Anna C. Howell, Saeed Mohammed, Milan Stevanovic |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 23 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |