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Updated: Jun 6, 2026
08:16
High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model
Published on: March 16, 2022
[The vascularized articular transfers from the foot]
1Centre chirurgical Émile-Gallé, 49 rue Hermite, Nancy cedex, France. marcpozzetto@yahoo.fr
Chirurgie De La Main
|November 16, 2010
Summary
Vascularized toe transfers can reconstruct completely destroyed finger joints (PIP and MCP), offering a durable alternative to fusion or arthroplasty. This technique preserves joint function and growth potential in pediatric patients.
Area of Science:
- Orthopedic Surgery
- Microsurgery
- Reconstructive Surgery
Context:
- Complete destruction of the proximal interphalangeal (PIP) or metacarpophalangeal (MCP) joint space presents a significant reconstructive challenge.
- Traditional treatments like joint fusion or arthroplasty have limitations regarding long-term function and joint preservation.
Purpose:
- To describe the surgical technique for vascularized toe-to-hand joint transfers for PIP and MCP joint reconstruction.
- To present the outcomes of 50 such transfers performed over an 18-year period.
- To evaluate the efficacy and durability of vascularized joint transfers as a reconstructive option.
Summary:
- Fifty vascularized toe transfers were performed for PIP (37 cases) and MCP (13 cases) joint destruction.
- PIP transfers yielded an average active range of motion (ROM) of 44°, while MCP transfers achieved an average ROM of 60°.
- No pain or joint space degradation was observed post-operatively, and growth potential was preserved in pediatric cases.
Impact:
- Vascularized joint transfer provides a viable, long-term solution for severe PIP and MCP joint destruction.
- The technique preserves joint function and growth potential, offering an alternative to joint fusion or arthroplasty.
- Despite technical demands, this reconstructive method should be considered in the armamentarium for complex hand joint injuries.
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