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Finger reimplant

The Clinical Department of Plastic and Reconstructive Surgery

One person from Iasi closes his shirt buttons with the fingers from his feet

Article published in 'Ziarul de Iasi' newspaper on 17th June 2002

Stefan Matei is probably the only person from Iasi that can close his shirt buttons with the fingers from his feet .And this is after the doctors from the Emergency section replanted at the left hand two fingers from his left foot.The innovating operation was realized at the request of the young man, who remained only with his thumb and pinky finger at one of his hands, after a terrible accident that happened three years ago.

"I have been dreaming for three years that I will have fingers at my left hand and I will be a normal person.I can't believe it's true" says Stefan Matei, with a joyful voice.The young man from Iasi, that is only twenty three years old,crushed his middle fingers from his left hand three years ago."I am a mechanic and I crushed my fingers at work. I was not attentive and since then the only fingers I have left are the thumb and the pinky finger" says the young man.

"Everything was in agony"

Immediately after the accident,the young man was sent to the Clinical Department of Plastic and Reconstructive Surgery from the Hospital of Clinical Urgency Iasi, but the doctors were not able to replant his fingers because they were into pieces.

"Then I found out that you can transfer fingers from your foot to the hand. But I didn't know if more than one can be transferred,and besides that I was afraid of the operation.I continued my life, I even continued to work,but everything was too hard without the fingers from my left hand.After three years, when I dreamt that I will have my fingers back and that I could use my left hand again,I overcomed my fear and went to the hospital, where they told me that such an operations is indeed possible" continues Stefan, and he admits that he was still afraid until the operation had finally started. The surgery lasted for eight hours, and the doctors took the first two fingers from his left foot and replant them on the mutilated hand.

The brain "was tricked"

"The two fingers from the foot were picked up simultaneously into an area that was on the same vascular axe,isolated by the body and put on the operation table.The vessels were prepared at the level of the mutilated hand and after the small arteries were transferred from the foot fingers to the arteries of the hand,and after that the tendons and nerves were rebuilt" says professor Teodor Stamate,the chief of the Clinical Department of Plastic and Reconstructive Surgery. He also said that it is the second operation of this kind in their clinic and that no operation had complications. "We are hoping that no complications will appear in the evolution after the operation,and after six weeks, time in which the bones will be fixed,the pacient will begin the reeducation of the hand. He will be able to use his hand normally with the replanted fingers because the fingers from the foot were put together with the nerves from the left hand.The presentation on the brain cortex will be like the fingers from his foot are the real fingers of the patient " said doctor Stamate

Pollices reconstruction through D2 foot microsurgery:

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a) preoperative stage
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b) dsecond finger from the isolated foot
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c) postoperatory immediate aspect: skin graft completes cutaneous coverage
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d) reconstructed pollices opposability compared with D2-D5 rays regained at 2 months
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e) the possible polices-digital penses
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