Francisco del Piñal, MD, PhD, Francisco J. García-Bernal, MD, PhD, Higinio Ayala, MD, Leopoldo Cagigal, MD, Javier Regalado, MD, Alexis Studer, MD

Hand Surg 2008;33A:1820–1825. Copyright © 2008 by the American Society for Surgery of the Hand. All rights reserved 

Abstract: Local vessel disease causing lack of arterial inflow at the time of toe harvesting represents a surgical emergency. In a personal experience of 194 toe transfers to the hand, 6 cases (in 4 patients) were found to have diseased vessels at the first web to the point that acute ischemia of the toe occurred when the tourniquet was released at the lower limb. We report our experience in these 6 cases.