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Related Experiment Videos

Vascularized toe joint transfer to the hand

S H Chen1, F C Wei, H C Chen

  • 1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.

Plastic and Reconstructive Surgery
|December 1, 1996
PubMed
Summary
This summary is machine-generated.

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Vascularized toe joint transfers offer a viable alternative for reconstructing hand injuries, achieving functional joint motion. Optimal outcomes depend on intact musculotendinous function for effective joint movement.

Area of Science:

  • Orthopedic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Vascularized toe joint transfer is a reconstructive option for post-traumatic hand deformities.
  • This study evaluates the outcomes of toe joint transfers for hand reconstruction.

Observation:

  • Twenty-nine vascularized toe joint transfers in 27 patients were analyzed for post-traumatic reconstruction.
  • Follow-up averaged 32.4 months, assessing range of motion and functional outcomes.
  • Mean range of motion varied based on the specific joints transferred (MTP, PIP) and their destination (MCP, PIP).

Findings:

  • Toe joint transfers achieved functional joint motion, with mean ranges of 34, 32, and 24 degrees.
  • Successful immediate free vascularized toe joint transfers were noted in complex metacarpophalangeal joint injuries.

Related Experiment Videos

  • Adequate muscle and tendon function are crucial for achieving superior range of motion post-transfer.

    • Implications:

    • Vascularized toe joint transfer is a valuable alternative to arthrodesis in selected complex hand injuries.
    • Careful patient selection, considering functional muscle and tendon status, is essential for maximizing range of motion.
    • This technique expands reconstructive possibilities for severe hand trauma.