Non-vascularized partial joint transfer for Finger Proximal Interphalangeal joint reconstruction: a series of 9 patients

2019 ◽  
Vol 140 (1) ◽  
pp. 139-144
Author(s):  
Franck M. Leclère ◽  
Luzian Haug ◽  
Rahel Meier ◽  
Carsten Surke ◽  
Frank Unglaub ◽  
...  
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Joint Reconstruction

Immediate Free Vascularized Joint Transfer from Second Toe to Index Finger Proximal Interphalangeal Joint: A Case Report

1985 ◽  
Vol 10 (1) ◽  
pp. 85-89 ◽  
Author(s):  
T. M. TSAI ◽  
R. SINGER ◽  
E. ELLIOTT ◽  
H. KLEIN
Keyword(s):  
Index Finger ◽  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Severe Injuries ◽  
Immediate Reconstruction ◽  
Joint Reconstruction ◽  
Results Of Treatment ◽  
Second Toe

The results of treatment of severe injuries to the proximal interphalangeal joint are unsatisfactory. The methods of joint reconstruction are discussed, including fusion, implant arthroplasty, perichondrial grafting and vascularized joint transfer. A patient is presented with a severe crush injury to the dorsum of the index finger with loss of skin and extensor tendon and proximal interphalangeal joint disruption. Immediate reconstruction of the finger is described using a composite free flap of skin, extensor tendon and proximal interphalangeal joint from the second toe. Follow-up at two years is described, demonstrating proximal interphalangeal motion and finger function.

The impact of transferred vascularized toe joint length on motion arc of reconstructed finger proximal interphalangeal joints: a cadaveric study

2017 ◽  
Vol 42 (8) ◽  
pp. 789-793 ◽  
Author(s):  
Chung-Chen Hsu ◽  
Charles Yuen Yung Loh ◽  
Dennis Kao ◽  
Steven L. Moran ◽  
Yu-Te Lin
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Defect Size ◽  
Interphalangeal Joint ◽  
Cadaveric Study ◽  
Equal Length ◽  
Segment Length ◽  
Joint Reconstruction ◽  
Bony Segment ◽  
The Impact ◽  
Joint Length

Vascularized toe joint transfer for finger proximal interphalangeal joint reconstruction can result in sub-optimal arc of motion and extension lag due to inappropriate intercalated bony segment length. We investigated the impact of intercalated segment length on passive arc of motion and extension lag of the reconstructed proximal interphalangeal joint. Cadaveric intercalated joint grafts were harvested from lesser toes and transferred to cadaveric fingers. The pre-determined finger proximal interphalangeal joint defect size was 2 cm. Three different intercalated segment lengths were inserted and resulting proximal interphalangeal joint arc of motion and extension lag were measured. The average arc of motion of finger proximal interphalangeal joints was 81° and 54° for toe proximal interphalangeal joints. Long intercalated segments had an average arc of motion of 30° with 32° extension lag. Equal-length intercalated segments had an average 49° arc of motion with 15° extension lag. Short intercalated segments had an average arc of motion of 71° with 8° extension lag. Shorter intercalated segments provide the greatest reduction in extension lag.

scholarly journals An Intraoperative Template Technique for Hemi-Hamate Bone Grafts in Reconstruction of the Proximal Interphalangeal Joint

2019 ◽  
Vol 11 (S 01) ◽  
pp. S46-S49
Author(s):  
Dariush Nikkhah ◽  
Jeremy Rawlins ◽  
Robert Miller ◽  
Edmund Fitzgerald
Keyword(s):  
Surgical Management ◽  
Donor Site ◽  
Bone Grafts ◽  
Donor Site Morbidity ◽  
Proximal Interphalangeal Joint ◽  
Technical Note ◽  
Interphalangeal Joint ◽  
Joint Reconstruction ◽  
Joint Fracture ◽  
Challenging Technique

AbstractThe surgical management of proximal interphalangeal joint fracture subluxations is challenging. The hemi-hamate autograft is a useful but technically challenging technique for these injuries. We describe a simple technical note, using a bone wax template to help guide the harvest of a geometrically accurate hemi-hamate graft to facilitate accurate proximal interphalangeal joint reconstruction, while reducing donor site morbidity.

A simple pre-operative imaging method to assess donor and recipient anatomy in hemi-hamate arthroplasty for proximal interphalangeal joint reconstruction

2015 ◽  
Vol 38 (6) ◽  
pp. 699-704 ◽  
Author(s):  
Daniel Calva ◽  
Nicholas Calotta ◽  
Joseph Lopez ◽  
Adrienne Christopher ◽  
Donna Magid ◽  
...  
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Imaging Method ◽  
Joint Reconstruction

Arthroplasty in the hand: what works and what doesn’t?

2021 ◽  
pp. 175319342110177
Author(s):  
Daniel B. Herren ◽  
Hajime Ishikawa ◽  
Marco Rizzo ◽  
Mark Ross ◽  
Michael Solomons
Keyword(s):  
Surgical Technique ◽  
Metacarpophalangeal Joint ◽  
Distal Radioulnar Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Radioulnar Joint ◽  
What Works ◽  
Thumb Carpometacarpal

This review describes the different possibilities for arthroplasties at the proximal interphalangeal joint, thumb carpometacarpal joint, distal radioulnar joint, metacarpophalangeal joint and the wrist. For each joint, the indication for arthroplasty is explained, the surgical technique with the suitable implant is described and a brief summary of the outcomes reported in the literature is given.

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