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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.
Background:
Destruction of the radiocarpal and midcarpal joints causes loss of wrist motion, pain, and reduced grip strength. A novel technique for radiocarpal reconstruction is presented.
Methods:
Two patients who had radiocarpal and midcarpal destruction and osteoarthritis underwent reconstruction using simultaneous bilateral microvascular second metatarsophalangeal joint transfer. The insetting was performed, inverting the distal-proximal orientation of both metatarsophalangeal joints and fixing them with two 2.0 screws in proximal and Kirschner wires in distal.
Results:
Radiocarpal extension and flexion without pain were preserved after a minimum of 4 years follow-up. Both patients could return to recreational activities. No secondary procedures were needed.
Conclusions:
This technique could be an alternative for radiocarpal reconstruction, although longer follow-up and more cases are needed.
