Microvascular Toe Joint for Proximal Interphalangeal Joint Replacement: Indications, Technique, and Outcomes. [Review]

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Citation: Hand Clinics. 34(2):207-216, 2018 MayPMID: 29625640Institution: Curtis National Hand CenterForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Finger Joint/su [Surgery] | *Toe Joint/su [Surgery] | *Toes/tr [Transplantation] | Contraindications, Procedure | Humans | Postoperative Care | Postoperative Complications | Toe Joint/bs [Blood Supply]Year: 2018Local holdings: Available online through MWHC library: 2002 - presentISSN:
  • 0749-0712
Name of journal: Hand clinicsAbstract: Copyright (c) 2018 Elsevier Inc. All rights reserved.Microvascular toe interphalangeal joint transfer can serve as a means of autogenous digit proximal interphalangeal joint (PIPJ) arthroplasty. Among surgical options for treating dysfunctional, absent, or destroyed PIPJs, free toe joint transfer is the most technically challenging and carries the greatest donor site cost to patients. Despite drawbacks, free toe joint transfer is a valuable tool with considerable advantages over conventional arthroplasty in the appropriate clinical setting. Particular advantages include lifelong durability, coronal plane stability, low infection risk, and growth potential in skeletally immature patients. This technique requires a balanced assessment of the risk-to-benefit ratio for each patient.All authors: Higgins JP, Katz RDFiscal year: FY2018Digital Object Identifier: Date added to catalog: 2018-05-08
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 29625640 Available 29625640

Available online through MWHC library: 2002 - present

Copyright (c) 2018 Elsevier Inc. All rights reserved.

Microvascular toe interphalangeal joint transfer can serve as a means of autogenous digit proximal interphalangeal joint (PIPJ) arthroplasty. Among surgical options for treating dysfunctional, absent, or destroyed PIPJs, free toe joint transfer is the most technically challenging and carries the greatest donor site cost to patients. Despite drawbacks, free toe joint transfer is a valuable tool with considerable advantages over conventional arthroplasty in the appropriate clinical setting. Particular advantages include lifelong durability, coronal plane stability, low infection risk, and growth potential in skeletally immature patients. This technique requires a balanced assessment of the risk-to-benefit ratio for each patient.

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