Vascular anatomic variations in second toe transfers

Yu Dong Gu, Gao Meng Zhang, De Song Chen, Xiao Min Cheng, Jian Guang Xu, Huan Wang

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


To devise new classification of vascular variations in second toe transfer we analyzed the anatomic details of the first dorsal metatarsal artery in 304 cases of second toe transplantation and the venous structure in 200 cases. According to location, the arterial vascularity was classified as superficial (18% of cases), intramuscular (54%), inframuscular (23%), and absent (5%). According to diameter, it was classified into large (16%), medium (64%), and small (20%). Based on branching pattern, the artery was classified into ramifying type (88%), main trunk (4%), and fine branch type (8%). The venous drainage of the second toe was categorized as greater saphenous vein main trunk type, greater saphenous vein fine branch type, dorsal digital vein main trunk type, and dorsal digital vein fine branch type. Variations of the first dorsal metatarsal artery are common. Classification should be done according to its location, diameter, and branching pattern at the toe web. Regardless of location, big vessels entering the second toe are the most important attribute for successful outcome. (C) 2000 by the American Society for Surgery of the Hand.

Original languageEnglish (US)
Pages (from-to)277-281
Number of pages5
JournalJournal of Hand Surgery
Issue number2
StatePublished - Mar 2000


  • Blood vessel
  • Toe transfer

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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