scholarly journals Distal Radio-Ulnar Joint Reconstruction after failed Darrach operation using free autogenous second toe Metatarso-phalangeal joint transfer. Development of the technique and a long-term (over 25 year) follow-up.

Injury ◽  
2021 ◽  
Author(s):  
Simo K. Vilkki
Keyword(s):  
Joint Reconstruction ◽  
Second Toe

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 Donor Foot in Free Toe or Joint Transfers

2000 ◽  
Vol 25 (4) ◽  
pp. 382-384 ◽  
Author(s):  
X. B. YANG ◽  
Y. D. GU
Keyword(s):  
Metatarsophalangeal Joint ◽  
Foot Deformities ◽  
Case Review ◽  
Dorsal Aspect ◽  
Mild Reduction ◽  
Second Toe

Eighty-four cases of free second toe, multiple toe or second metatarsophalangeal joint transfers were studied by case review and follow-up. The function of the donor foot had recovered completely within 6 months in 89% of patients. The wounds on the donor foot healed in 2–3 weeks in 90% of patients. Slight numbness on the dorsal aspect of the donor foot, intolerance to cold, mild reduction in push-off, scar tenderness and pain or swelling occurred in only a few patients and generally were not considered of significance. Multiple toe transfers created more donor problems in terms of healing and appearance. Some foot deformities with plantar callosities were observed at long term review. However, all patients were capable of work and normal activities.

Long-term follow-up of the CAD/CAM patient fitted total temporomandibular joint reconstruction system

2002 ◽  
Vol 60 (12) ◽  
pp. 1440-1448 ◽  
Author(s):  
Louis G. Mercuri ◽  
Larry M. Wolford ◽  
Bruce Sanders ◽  
R.Dean White ◽  
Anita Giobbie-Hurder
Keyword(s):  
Temporomandibular Joint ◽  
Joint Reconstruction ◽  
Long Term Follow Up ◽  
Cad Cam

scholarly journals Medium- to long-term results of acromioclavicular joint stabilisation using the Ligament Augmentation Reconstruction System (LARS) ligament

2019 ◽  
Vol 12 (3) ◽  
pp. 163-169
Author(s):  
Thomas JA Hunter ◽  
Mohammed Abdus-Samee ◽  
Sivaraman Balasubramanian ◽  
Natalie Grocott ◽  
Damian McClelland
Keyword(s):  
Acromioclavicular Joint ◽  
Constant Score ◽  
Long Term Results ◽  
Joint Reconstruction ◽  
Joint Dislocations ◽  
Ligament Augmentation ◽  
Small Cracks ◽  
Optimum Management

Background Opinion is divided as to optimum management of grade III acromioclavicular joint injuries that have failed conservative management. We objectively investigated the radiological and functional outcome of acromioclavicular joint reconstruction using the Ligament Augmentation Reconstruction System (LARS®). Methods Retrospective review of patients with LARS reconstruction of acromioclavicular joint dislocations with minimum six-year follow-up. Functional assessment was performed using the constant score, Disability of Arm Shoulder and Hand score and simple satisfaction score. Radiological assessment was undertaken using plain radiographs. Results were compared with the uninjured limb. Results Twenty-four of 25 patients were included. Mean constant score for the injured shoulder was 87.0, Disability of Arm Shoulder and Hand score was 11.6. All patients indicated that they would have the operation again. There were five complications including two patients that suffered small cracks in the clavicle. Coracoid erosion was frequently seen but was most often minor. In two cases, this resulted in a complete dissociation of the coracoid tip but without functional detriment. Discussion LARS is a safe and effective method of acromioclavicular joint reconstruction producing good results, and we recommend its use for these injuries. We also caution clinicians who use cerclage methods to be aware of coracoid erosion when following up their patients.

scholarly journals Temporomandibular joint reconstruction in non-oncological patients. Long-term follow-up

2017 ◽  
Vol 46 ◽  
pp. 226
Author(s):  
E. Baranda ◽  
B. Lago ◽  
P. De Leyva ◽  
E. Sánchez-Jáuregui ◽  
J. González ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Joint Reconstruction ◽  
Oncological Patients ◽  
Long Term Follow Up

scholarly journals Methods for Congenital Thumb Hypoplasia Reconstruction. A Review of the Outcomes for Ten Years of Surgical Treatment

Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 610 ◽  
Author(s):  
Ozols ◽  
Butnere ◽  
Petersons
Keyword(s):  
Functional Results ◽  
Clinical Results ◽  
New Techniques ◽  
Extensor Indicis Proprius ◽  
Thumb Hypoplasia ◽  
Long Term Follow Up ◽  
Grade Ii ◽  
Second Toe

Background and objectives: Congenital thumb hypoplasia is a rare deformity of upper extremity. The incidence for thumb hypoplasia grade II–V is 1:10,000 newborns per year in Latvia. A technique for extensor indicis proprius (EIP) tendon transfer with subperiosteal fixation was developed and used for thumb hypoplasia grades II and IIIa. Pollicization or second-toe-to-hand transplantation with metatarsophalangeal (MTP) joint arthrodesis was used for the reconstruction of hypoplasia grade IIIb–V. The aim of this retrospective cohort study is to evaluate the outcomes for reconstruction techniques used in one surgical center during a ten-year period by one surgeon to evaluate functional and aesthetical outcomes for new techniques. Materials and Methods: In total, 21 patients were operated on during 2007–2017, and 18 of these patients were involved in this study. Long-term follow-up was completed to evaluate the functions and aesthetics of the hands. Results: disabilities of the arm, shoulder and hand (DASH) was 9.35 (8–10.7) for the second-toe-to-hand with MTP joint arthrodesis transplantation method for pollicization method 19.8 (6–26.7), and for the EIP tendon transposition, 14.54 (0.9–56.3). Conclusions: The postoperative functional parameters of congenital hand hypoplasia patients, regardless of the surgical method, are worse than the functional results of healthy patients. The use of the second-toe-to-hand with MTP joint arthrodesis transplantation method provides patients with congenital hand IIIb–V hypoplasia a stable and functional first finger formation. The functional results are comparable to the clinical results of the pollicization method while ensuring the creation of a five-digit hand.

Toe-to-Hand Transfers: More Than 20 Years Follow-Up of Five Post-Traumatic Cases

2006 ◽  
Vol 31 (1) ◽  
pp. 2-8 ◽  
Author(s):  
A. GÜLGÖNEN ◽  
E. GUDEMEZ
Keyword(s):  
Hand Function ◽  
Long Term Follow Up ◽  
Post Traumatic ◽  
Toe Transfer ◽  
Finger Reconstruction ◽  
Second Toe

In post-traumatic losses of the thumb and fingers, reconstruction can be performed with success using various combinations of toe transfers. In this study, we have presented second toe and combined toe transfers which have been followed up for more than 20 years. Second toe transfer was used in four patients for reconstruction of the thumb. Combined second and third toe transfer was performed in two patients with a metacarpal hand for finger reconstruction. Long-term follow-up results show that patients with toe-to-hand transfers have acceptable adaptation to the reconstructed hand and good hand function. Toe transfer should be individually planned and carefully executed to obtain optimal results and minimal disability in the donor foot.

Concurrent Interdigital Neuroma and MTP Joint Instability: Long-term Results of Treatment

2002 ◽  
Vol 23 (11) ◽  
pp. 1018-1025 ◽  
Author(s):  
Michael J. Coughlin ◽  
Robert C. Schenck ◽  
Paul J. Shurnas ◽  
David M. Bloome
Keyword(s):  
Surgical Treatment ◽  
Joint Instability ◽  
Metatarsophalangeal Joint ◽  
Long Term Results ◽  
Radiographic Examination ◽  
Common Source ◽  
Persistent Symptoms ◽  
Second Toe

Introduction: An interdigital neuroma is a common source of forefoot pain, and while second metatarsophalangeal joint instability is a less common entity, it can be a concomitant source of pain. The purpose of this study was to evaluate the long-term clinical course and surgical outcomes of the treatment of these concomitant problems. Methods: 121 consecutive patients (131 feet and 136 neuromas) were evaluated and treated for a symptomatic interdigital neuroma from 1981 to 1997. Of these, 24 patients (20%) had a concurrent interdigital neuroma (IDN) and second metatarsophalangeal (MTP) capsular instability that underwent surgical treatment. At the final follow-up examination, 20 patients (21 feet) were evaluated by an independent orthopaedic surgeon with a standardized clinical and radiographic examination, patient self-assessment and outcome measures. Results: Overall, there were 18 females and two males (21 feet) treated with an average age of 54 years at the time of surgery that returned for examination and follow-up at an average of 80 months (48 to 108 months) following surgery. Seventeen patients (85%) rated their result as good or excellent and three as fair. Six patients had mild continued symptoms referable to the second toe and none to the neuroma. Simultaneous neuroma excision and second MTP stabilization was performed in 15 cases and in six cases a staged repair was performed. The mean visual analog pain score was 1.4 (0 = no pain, 10 = severe pain) and mean MHAQ score was 1.13 (1–1.625) with activity modification stemming from hip, back and knee complaints. Conclusion: With careful patient selection and preoperative assessment, resection of an interdigital neuroma and stabilization of second metatarsophalangeal joint instability resulted in a high percentage of successful results at greater than four years following the procedure. Objective results were comparable to previous reports on the surgical treatment of isolated interdigital neuroma and crossover second toe reconstruction. Subjective patient satisfaction was high but both subjective and objective results were lower in patients with persistent symptoms of MTP instability.

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