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Radiocarpal Joint Reconstruction with a Double Free Metatarsophalangeal Joint Transfer.
Pedro C Cavadas1,2, Beatriz Padial1
1From Reconstructive Surgery, Clinica Cavadas, Valencia, Spain.
Plastic and Reconstructive Surgery. Global Open
|December 28, 2023
Summary
A new surgical technique using toe joints successfully reconstructed damaged wrist joints in two patients, restoring motion and reducing pain. This innovative approach offers a potential solution for radiocarpal reconstruction.
Area of Science:
- Orthopedic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Destruction of radiocarpal and midcarpal joints leads to significant loss of wrist function, including motion and grip strength, along with pain.
- Osteoarthritis and joint destruction severely impair wrist mobility and daily activities.
Purpose of the Study:
- To present a novel surgical technique for radiocarpal reconstruction.
- To evaluate the efficacy of using microvascular second metatarsophalangeal joint transfer for wrist joint reconstruction.
Main Methods:
- Two patients with severe radiocarpal and midcarpal destruction underwent reconstruction.
- Simultaneous bilateral microvascular second metatarsophalangeal joint transfer was employed.
- Joints were inset with inverted orientation and secured with screws and Kirschner wires.
Main Results:
- Patients regained pain-free wrist extension and flexion.
- Functional recovery allowed return to recreational activities after a minimum 4-year follow-up.
- No additional procedures were required post-reconstruction.
Conclusions:
- The described technique presents a viable alternative for radiocarpal reconstruction.
- Further investigation with longer follow-up and larger patient cohorts is warranted to confirm its long-term effectiveness.
