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Free phalangeal transfer: donor-site outcome
1Department of Plastic, Reconstructive and Hand Surgery, St James's University Hospital, Leeds, UK.
British Journal of Plastic Surgery
|August 6, 2002
Summary
A new bone graft technique for digital reconstruction in children offers better toe stability and length preservation compared to the traditional Buck-Gramcko method. This approach minimizes donor-site deficits in the foot.
Area of Science:
- Pediatric Orthopedics
- Reconstructive Surgery
- Microsurgery
Background:
- Non-vascularized free proximal phalangeal transfer is used for digital reconstruction in children.
- This procedure can lead to cosmetic and functional issues at the donor site.
Purpose of the Study:
- To compare the donor-site outcomes of a novel iliac-crest bone graft technique with the established Buck-Gramcko method for pediatric digital reconstruction.
Main Methods:
- Retrospective comparison of 11 patients treated with a cylindrical iliac-crest bone graft.
- Comparison with 18 patients treated with the Buck-Gramcko technique.
- Evaluation of donor-site stability and length preservation.
Main Results:
- The iliac-crest bone graft technique demonstrated superior preservation of toe stability.
- The bone graft technique also resulted in better preservation of toe length.
- The new technique showed improved donor-site outcomes.
Conclusions:
- Cylindrical iliac-crest bone grafting is a promising alternative for pediatric digital reconstruction.
- This technique offers better functional and cosmetic results at the donor site compared to the Buck-Gramcko method.