Functional Improvement with Free Vascularized Toe-to-hand Proximal Interphalangeal (PIP) Joint Transfer

Plastic and Reconstructive Surgery. Global Open
İsmail Melih KuzuEthem Güneren

Abstract

Reconstruction of small joints of fingers is still challenging in hand surgery. Implant arthroplasty and arthrodesis have some limitations in the reconstruction of small finger joints. Free vascularized PIP joint transfer from second toe to finger is a promising autogenous reconstructive alternative. In this prospective study, 7 cases of free vascularized PIP joint transfer were analyzed. The measurements for active and passive range of motion (ROM), grip, and pinch strength has been done preoperatively and 1-year postoperatively. The functional change in daily life quality and work-related activities was evaluated with Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Mean follow-up period was 20.3 months (12-25). Preoperative mean active and passive ROM values were 3.6° (0-14°) and 11.9° (0-29°), respectively. Postoperative 1-year measurements revealed a mean active ROM of 24.1° and a mean passive ROM of 31.6°. Mean grip and pinch strength increased from 52.1 to 58.6 lbs and from 5.1 to 5.9 lbs, respectively. Mean preoperative and postoperative DASH-scores were 41.3 and 30.3. The improvement in ROM, increasing grip strength, and declining DASH scores in our study support that free vascularized joint transfer im...Continue Reading

References

Jan 1, 1991·Microsurgery·O Ishida, T M Tsai
Jul 1, 1990·Journal of Reconstructive Microsurgery·G FoucherN Citron
Sep 1, 1988·The Journal of Hand Surgery·D I SingerM F Angel
Jul 27, 2001·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·K KimoriO Suzuki
Jan 16, 2007·The Journal of Hand Surgery·César J BravoRobert D Beckenbaugh
Feb 21, 2013·Techniques in Hand & Upper Extremity Surgery·Yu-Te LinFu-Chan Wei
Jun 10, 2016·Techniques in Hand & Upper Extremity Surgery·Yu-Te Lin, Charles Yuen Yung Loh

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Citations

Feb 5, 2019·Annals of Botany·James S BorrellPaul Wilkin
Nov 7, 2019·Archives of Orthopaedic and Trauma Surgery·Franck M LeclèreEsther Vögelin
Aug 12, 2020·Hand : Official Journal of the American Association for Hand Surgery·Jeffrey G TrostDavid T Netscher
Jan 30, 2021·Hand : Official Journal of the American Association for Hand Surgery·Kiane J ZhouBrahman S Sivakumar

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