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Related Concept Videos

Development of the Limb Synovial Joints01:07

Development of the Limb Synovial Joints

Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
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Bones of the Upper Limb: Humerus

The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Ankle Joint

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Bone Remodeling and Repair

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Related Experiment Video

Updated: Jul 12, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
10:36

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

Published on: May 23, 2025

[Vascularized joint transfer for finger joint reconstruction].

R Hierner1, A K Berger, Z-L Shen

  • 1Plastische, Rekonstruktive und Asthetische Chirurgie, Zentrum für Interdisziplinäre Rekonstruktive Chirurgie, Katholische Universität Leuven, Universitätsklinikum Gasthuisberg, Herestraat 49, 3000 Leuven, Belgien. robert.hierner@uz.kuleuven.ac.be

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|August 29, 2007
PubMed
Summary

Vascularized joint transfers effectively restore finger joint function, particularly complete transfers, showing no arthritis post-surgery. Partial transfers had higher arthritis rates, but both types offer viable solutions for joint defects.

More Related Videos

Orthotopic Hind Limb Transplantation in the Mouse
07:15

Orthotopic Hind Limb Transplantation in the Mouse

Published on: February 12, 2016

Related Experiment Videos

Last Updated: Jul 12, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
10:36

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

Published on: May 23, 2025

Orthotopic Hind Limb Transplantation in the Mouse
07:15

Orthotopic Hind Limb Transplantation in the Mouse

Published on: February 12, 2016

Area of Science:

  • Orthopedic Surgery
  • Microsurgery
  • Hand Surgery

Background:

  • Finger joint defects often result from trauma, tumors, infection, or congenital issues.
  • Restoring function and preventing arthritis in damaged finger joints is a significant clinical challenge.

Purpose of the Study:

  • To evaluate the long-term outcomes of vascularized joint transfers in the hand.
  • To assess active range of motion, arthritis development, growth, and complications following these procedures.

Main Methods:

  • Retrospective clinical study of 16 vascularized joint transfers (partial and complete).
  • Joints were harvested from fingers, the second toe, or hand.
  • Evaluated outcomes included active range of motion, arthritis, growth, and complications over an average of 8.2 years.

Main Results:

  • Complete vascularized joint transfers showed no clinical or radiological evidence of arthritis, even after 15 years.
  • Partial transfers had a higher incidence of arthritic changes (3 out of 4 patients).
  • Complications occurred in 8 out of 14 patients, including tendolysis and skeletal malalignment.

Conclusions:

  • Vascularized joint transfer is a viable option for finger joint reconstruction, especially in cases where prosthetic replacement or arthrodesis is contraindicated.
  • Complete transfers demonstrate excellent long-term results with no arthritis.
  • Indications vary: children benefit for growth potential, adults for functional restoration when other options fail.