Proximalization of the Vascularized Toe Joint in Finger Proximal Interphalangeal Joint Reconstruction: A Technique to Derive Optimal Flexion From a Joint With Expected Limited Motion.
Citation: Journal of Hand Surgery - American Volume. 42(2):e125-e132, 2017 FebPMID: 28011035Institution: Curtis National Hand CenterForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Finger Injuries/su [Surgery] | *Reconstructive Surgical Procedures/mt [Methods] | *Toe Joint/bs [Blood Supply] | *Toes/tr [Transplantation] | Humans | Male | Middle AgedYear: 2017Local holdings: Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - presentISSN:- 0363-5023
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 28011035 | Available | 28011035 |
Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
Copyright (c) 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
When used to reconstruct a finger proximal interphalangeal joint, a free toe interphalangeal joint, without modification, cannot meet the motion demands of the finger to allow palm touchdown. This limitation is the direct result of the toe interphalangeal joint having an intrinsic arc of motion that delivers less flexion than that of a normal functioning finger proximal interphalangeal joint. By modifying the inset of the transferred joint to an extra-anatomical more proximal position, this limitation can be overcome. With a mathematical justification highlighted by a clinical illustration, we demonstrate the feasibility and utility of this "proximalization" technique.
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