Özet:

Objective: The aim of this case report is to make a partial contribution to the literature about the physiotherapy assessment and treatment methods after toe-to-hand transplants and to report the results of the treatment program.  Methods: Our patient is a 17-year old boy with a traumatic second and third finger amputation. One year later the injury, he underwent a transplant surgery that left the second toe was transferred as the right index finger. After immobilization of 4 weeks, he was directed to physiotherapy program that was planned in 3 steps. The first stage of treatment was early rehabilitation. At this stage, through the post-operative 8th week, we aimed to control edema and increase the range of passive and active-assistive motion. Between the 8th and 12th weeks resistance exercises of the transplanted finger were added to the program. After the 12th week, return to daily life activities was the target of late stage physiotherapy program.  Results: Post-operative 4th, 8th and 12th week assessments revealed that the range of motion and the grip and pinch strengths of the transferred finger increased while the most significant increase was seen in the pinch strengths. Moreover, the functional test score and disability rate, which are both the indicators of the patient’s functional level, improved gradually. Besides meeting a young patient’s aesthetic deficit by the transplant surgery, the functional benefits of a well-established post-operative physiotherapy program were unavoidable. Conclusion: It is suggested that physiotherapists would contribute to the patient's functional recovery by applying a patient-adjusted treatment program.

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