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[Autoplastic foot-to-hand joint transplantations]
Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
|January 1, 1986
Summary
Foot-to-hand joint transplantation offers a viable alternative to traditional surgeries for severe finger injuries. This reconstructive procedure restores finger function, stability, and alleviates pain, improving patient outcomes.
Area of Science:
- Orthopaedic Surgery
- Hand Surgery
- Reconstructive Surgery
Context:
- Severe traumatic injuries to finger joints often necessitate joint reconstruction.
- Traditional surgical options include arthrodesis (fusion) or arthroplasty (replacement).
- These methods may lead to functional limitations or persistent pain.
Purpose:
- To evaluate the efficacy of foot-to-hand joint transplantation for severe hand injuries.
- To present surgical techniques and outcomes based on extensive clinical experience.
- To offer an alternative to arthrodesis and arthroplasty, preserving joint function.
Summary:
- Over 9 years, 20 patients underwent 22 foot-to-hand joint transplants (16 hemiarticular grafts).
- Operations involved metacarpophalangeal (M.P.) and proximal interphalangeal (P.I.P.) joints.
- The technique aims to restore overall finger functionality and joint stability.
Impact:
- Joint transplantation partially restores active finger function.
- Achieves true joint stability and pain disappearance in most cases.
- Provides a valuable alternative to conventional treatments, avoiding their characteristic disabilities.