Salvage Reconstruction of a Congenital Hypoplastic Thumb Due to Constriction Ring Syndrome Using a Third Toe Transfer, When the Usual Donor Sites of Index Finger, Great and Second Toes Are Not Available

Hand ◽  
2021 ◽  
pp. 155894472199800
Author(s):  
Pengcheng Wang ◽  
Neil F. Jones
Keyword(s):  
Index Finger ◽  
Pediatric Population ◽  
Functional Results ◽  
Constriction Ring ◽  
Hypoplastic Thumb ◽  
Constriction Ring Syndrome ◽  
Toe Transfer

Isolated third toe-to-thumb transfers have been rarely reported and none in the pediatric population. We describe a third toe-to-thumb transfer for reconstruction of a congenital hypoplastic thumb with excellent functional results and no morbidity in the donor foot.

Double Second Toe Transfer in Congenital Hand Anomalies

1999 ◽  
Vol 24 (4) ◽  
pp. 471-475 ◽  
Author(s):  
C. VAN HOLDER ◽  
H. GIELE ◽  
A. GILBERT
Keyword(s):  
Surgical Procedures ◽  
Constriction Ring ◽  
Constriction Ring Syndrome ◽  
Toe Transfer ◽  
Second Toe ◽  
Hand Anomalies

A series of 14 patients with congenital hand anomalies who received staged double second toe transfers to the same hand for restoration of function or form were reviewed retrospectively. There were three children with constriction ring syndrome, two with symbrachydactyly and nine with transverse absence (failure of formation). There were different indications, technical difficulties and results with the various anomalies. All transferred toes were mobile and sensate, and were reported to be of benefit in both function and appearance. However, secondary surgical procedures were required in all patients.

Congenital Constriction Ring Syndrome in Lower Limb-A Rare Entity

2012 ◽  
Vol 3 (5) ◽  
pp. 425-426
Author(s):  
Dr. Anoop Kumar Singh Dr. Anoop Kumar Singh ◽  
◽  
Dr. Anumita Sinha ◽  
Dr. Archika Dr. Archika
Keyword(s):  
Lower Limb ◽  
Rare Entity ◽  
Constriction Ring ◽  
Constriction Ring Syndrome

The Long-term Results of Proximal Interphalangeal Joint Arthroplasty of the Osteoarthritic Index Finger

Hand ◽  
2020 ◽  
pp. 155894472092146
Author(s):  
Tomos Richards ◽  
Laura Ingham ◽  
Ian Russell ◽  
David Newington
Keyword(s):  
Index Finger ◽  
Visual Analog Scale Score ◽  
Functional Results ◽  
Reoperation Rate ◽  
Proximal Interphalangeal Joint ◽  
Joint Arthroplasty ◽  
Long Term Results ◽  
Good Pain Relief ◽  
Pip Joint

Background: Arthroplasty of the proximal interphalangeal (PIP) joint is a widely performed procedure for patients with osteoarthritis. Its use in the index finger is often discouraged due to concerns over implant longevity and stability secondary to coronal forces this digit is exposed to during pinch. Methods: We analyzed 47 consecutive index finger silastic interposition arthroplasties, performed through a dorsal approach, at a mean follow-up of 5.15 years. Results: Only 2 patients had ulnar deviation greater than 15°. The reoperation rate was 12.8%, with only 1 finger requiring arthrodesis. The mean Visual Analog Scale score was 1.1; and of the whole series, only 1 patient would retrospectively have preferred a fusion. Conclusions: Our series shows that excellent functional results and patient satisfaction can be gained using silastic PIP joint arthroplasty in the index finger. We would advocate offering this procedure, especially in lower demand patients as an alternative to arthrodesis, with the benefit of providing good pain relief while preserving movement.

Acquired Constriction Ring Syndrome

2003 ◽  
Vol 24 (8) ◽  
pp. 640-641 ◽  
Author(s):  
Andrew Michael Smith ◽  
William Peckett ◽  
Mark Davies
Keyword(s):  
Good Prognosis ◽  
Tissue Viability ◽  
Surgical Exploration ◽  
Constriction Ring ◽  
Orthopaedic Community ◽  
Constriction Ring Syndrome

A case of “acquired constriction ring” or “toe-tourniquet” syndrome is presented to increase awareness of the condition in the orthopaedic community. If treated promptly, this condition has a very good prognosis and, if the diagnosis is missed, may lead to amputation. We also discuss the potential causes and presentation of this condition, along with the need for urgent surgical exploration if there are doubts over tissue viability.

TRIANGULAR FLAPS: A MODIFIED TECHNIQUE FOR THE CORRECTION OF CONGENITAL CONSTRICTION RING SYNDROME

Hand Surgery ◽  
2011 ◽  
Vol 16 (03) ◽  
pp. 387-393 ◽  
Author(s):  
Puay-Ling Tan ◽  
Yuan-Cheng Chiang
Keyword(s):  
Wide Spectrum ◽  
Lower Limbs ◽  
Modified Technique ◽  
Constriction Ring ◽  
Contour Deformity ◽  
Aesthetic Results ◽  
Advancement Flaps ◽  
A New Technique ◽  
Constriction Ring Syndrome

Congenital constriction ring syndrome (CCRS) is a congenital anomaly with a wide spectrum of clinical presentation. The accepted method of correcting a circular constriction is to excise the deep part of the constriction, and break the line of the circular scar with multiple Z- or W-plasties. Specific correction of soft tissue is recommended concurrently, to better correct the "sandglass" deformity. Here we describe a new technique using triangular advancement flaps to correct the deformity in eight patients with constriction ring syndrome, involving either the upper or lower limbs. In this technique, triangular flaps can be introduced either proximal or distal to the ring, depending on the limb circumference, to correct the contour deformity. In all eight patients, a normal extremity contour was obtained, with complete elimination of the deformity caused by the constriction ring. A mean follow-up of 43 months revealed an aesthetically acceptable scar, with no case of recurrence. Triangular flaps designed either proximal or distal to the constriction ring is able to correct the contour deformity of the limbs with great versatility and acceptable aesthetic results.

Long-term functional results of microvascular toe-to-thumb reconstruction

2010 ◽  
Vol 36 (3) ◽  
pp. 194-204 ◽  
Author(s):  
T. Kotkansalo ◽  
S. Vilkki ◽  
P. Elo ◽  
T. Luukkaala
Keyword(s):  
Recovery Of Function ◽  
Hand Function ◽  
Functional Results ◽  
Inclusion Criteria ◽  
Clinical Tests ◽  
Thumb Reconstruction ◽  
Initial Injury ◽  
Toe Transfer

The purpose of this study was to evaluate the long-term functional results of microvascular toe-to-thumb reconstruction after trauma. Forty-one patients meeting the inclusion criteria were available for a clinical follow-up study. The function of the hand was assessed with questionnaires as well as with modified Tamai and Sollerman hand function tests. According to the questionnaires, most activities were considered easy or quite easy and the majority of the patients (36/41) managed with no or minor complaints. Clinical tests showed good recovery of function. Patient satisfaction was high. There were superficial infections in five hands and in six donor feet. In total, 16 late corrective operations were done to eight patients. Microvascular toe transfer is a good option for grip reconstruction after thumb amputation. The extent of the initial injury influences the achievable outcome, yet even a single toe transfer can restore adequate grip function.

Constriction Ring Syndrome

2014 ◽  
pp. 165-176
Author(s):  
Bran Sivakumar ◽  
Paul Smith
Keyword(s):  
Constriction Ring ◽  
Constriction Ring Syndrome

scholarly journals Acquired constriction ring syndrome as a cause of inconsolable cry in a child: a case report

Cases Journal ◽  
2008 ◽  
Vol 1 (1) ◽  
Author(s):  
Vinay Singh ◽  
Pankaj Singh ◽  
Amit Sharma ◽  
Jay Sarkar
Keyword(s):  
Case Report ◽  
Constriction Ring ◽  
Constriction Ring Syndrome
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