Vascularized toe joint transfer to the hand

Plastic and Reconstructive Surgery
S H ChenM C Yeh

Abstract

From 1984 to 1993, 36 vascularized toe joints were transferred in 33 patients. The present study group excludes 3 toe joint transfers to elbow and temporomandibular joints and 4 toe joint to hand transfers lost to follow-up. The final study group includes 29 vascularized toe joint transfers in 27 patients, 21 males and 6 females. All were performed for posttraumatic reconstruction, except one transfer for congenital deformity. Follow-up averaged 32.4 months. Mean range of motion was 34 degrees in toe metatarsophalangeal joint to hand metacarpophalangeal joint transfers, 32 degrees in toe proximal interphalangeal joint to hand metacarpophalangeal joint transfers, and 24 degrees in toe proximal interphalangeal joint to hand proximal interphalangeal joint transfers. Although vascularized toe joint transfer is an alternative to arthrodesis, in order to have a greater range of motion than average, the patient must have well-functioning muscle and associated tendons effecting joint motion. Good results were obtained in two immediate free vascularized toe joint transfers to complex injuries involving loss of the metacarpophalangeal joint. We encourage toe joint transfer in selected complex hand injuries.

Associated Clinical Trials

Dec 10, 2019·Yousif Tarek El-Gammal

References

Aug 1, 1979·Plastic and Reconstructive Surgery·P J Hurwitz
Dec 1, 1992·The Journal of Trauma·S H ChenS M Noordhoff
Jan 1, 1991·Microsurgery·O Ishida, T M Tsai
Jan 1, 1991·The Journal of Hand Surgery·P R EllisT M Tsai
Jul 1, 1990·Journal of Reconstructive Microsurgery·G FoucherN Citron
May 1, 1990·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P J Smith, T E Goodacre

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Citations

Jan 28, 2012·Journal of Hand and Microsurgery·Steven L Henry, Fu-Chan Wei
Apr 23, 2003·British Journal of Plastic Surgery·M SchenkerS P J Kay
Jul 27, 2001·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·K KimoriO Suzuki
May 4, 2001·Plastic and Reconstructive Surgery·W C Pederson
Oct 2, 2013·The Journal of Hand Surgery·Francisco del PiñalLuis Cerezal
Oct 29, 2011·Clinics in Plastic Surgery·Derek L MasdenJames P Higgins
Jun 4, 2011·The Journal of Hand Surgery·Oren Z LermanL Scott Levin
Feb 1, 2005·The Journal of Hand Surgery·Kohei KanayaToshihiko Yamashita
Mar 25, 2015·Journal of Shoulder and Elbow Surgery·Juyu TangScott M Tintle
Mar 2, 2012·Hand : Official Journal of the American Association for Hand Surgery·Mark Henry
Jun 20, 2008·The Journal of Hand Surgery, European Volume·P P KotwalV Gupta
Aug 12, 2020·Hand : Official Journal of the American Association for Hand Surgery·Jeffrey G TrostDavid T Netscher
Jul 25, 2008·Annals of Plastic Surgery·Surak EoSukJoon Oh
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
Jul 1, 2021·Applied Bionics and Biomechanics·F A AlnaimatMohammad Hassan

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