PIP reconstruction with vascularized PIP joint from the second toe: minimizing the morbidity with the "dorsal approach and short-pedicle technique"

Techniques in Hand & Upper Extremity Surgery
Gilles DautelStéphane Faivre

Abstract

Toe joint transplantation is a valuable procedure for reconstruction of the PIP joint of the finger. The authors describe recent refinements in the surgical procedure that have permitted them to reduce the morbidity on the donor site and simplify the whole procedure. A single dorsal approach is used at a digital level, allowing exposure of the recipient vessels (palmar collateral artery and superficial dorsal vein) and resection of the joint remnants. The PIP transfer is harvested through a limited dorsal incision, and reconstruction of the donor toe is achieved using a bone graft and a cross-toe flap. An average range of motion of 43 degrees has been achieved in this series with a mean follow-up of 42 months.

References

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Citations

Sep 1, 2012·Aesthetic Plastic Surgery·Hede YanCunyi Fan
May 7, 2013·Chirurgie de la main·F Fitoussi
Sep 2, 2006·The Journal of Hand Surgery·Francisco del PiñalLeopoldo Cagigal
Nov 3, 2010·Plastic and Reconstructive Surgery·Wenhai SunLei Zhu
Jan 28, 2017·Clinical Hemorheology and Microcirculation·K BachleitnerJ H Dolderer
Jan 30, 2021·Hand : Official Journal of the American Association for Hand Surgery·Kiane J ZhouBrahman S Sivakumar
Feb 5, 2021·Techniques in Hand & Upper Extremity Surgery·Pobe LuangjarmekornPravit Kitidumrongsook

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