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The patient underwent a 2-stage reconstruction with big, second, and third toes transfer in each hand to restore tripod pinch. Long-term follow-up demonstrated excellent functional outcomes, with independence with all activities of daily living and minimal donor site morbidity. This is the first report of a 2-stage 6 toe-to-hand transfer in a patient with bilateral metacarpal hands. Approaching this patient\u2019s reconstruction in only 2 stages allowed for a successful outcome with fewer operations and less surgical morbidity.<\/jats:p>","DOI":"10.1177\/15589447241293164","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T04:25:36Z","timestamp":1732508736000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A 2-Stage 6 Toe-to-Hand Transfer for the Reconstruction of Bilateral Digitless Hands"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5375-0265","authenticated-orcid":false,"given":"Rachel","family":"Lefebvre","sequence":"first","affiliation":[{"name":"Watson Clinic, Lakeland, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9234-9469","authenticated-orcid":false,"given":"Sofia","family":"Bougioukli","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"McCullough","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Kelpin","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Spectrum Health, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ed","family":"Detels","sequence":"additional","affiliation":[{"name":"California Rehabilitation &amp; Sports Therapy, Norwalk, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milan","family":"Stevanovic","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Southern California, Los Angeles, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,25]]},"reference":[{"issue":"2","key":"e_1_3_3_2_2","article-title":"Epidemiology of finger amputations in the United States from 1997 to 2016","volume":"1","author":"Reid DBC","year":"2019","unstructured":"Reid DBC, Shah KN, Eltorai AEM, et al Epidemiology of finger amputations in the United States from 1997 to 2016. 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