000 02303nam a22004217a 4500
008 171213s20172017 xxu||||| |||| 00| 0 eng d
022 _a0363-5023
040 _aOvid MEDLINE(R)
099 _a28011035
245 _aProximalization of the Vascularized Toe Joint in Finger Proximal Interphalangeal Joint Reconstruction: A Technique to Derive Optimal Flexion From a Joint With Expected Limited Motion.
251 _aJournal of Hand Surgery - American Volume. 42(2):e125-e132, 2017 Feb
252 _aJ Hand Surg [Am]. 42(2):e125-e132, 2017 Feb
253 _aThe Journal of hand surgery
260 _c2017
260 _fFY2017
266 _d2017-12-13
501 _aAvailable in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
520 _aCopyright (c) 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
520 _aWhen 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.
546 _aEnglish
650 _a*Finger Injuries/su [Surgery]
650 _a*Reconstructive Surgical Procedures/mt [Methods]
650 _a*Toe Joint/bs [Blood Supply]
650 _a*Toes/tr [Transplantation]
650 _aHumans
650 _aMale
650 _aMiddle Aged
651 _aCurtis National Hand Center
657 _aCase Reports
657 _aJournal Article
700 _aHiggins, James P
700 _aKatz, Ryan D
700 _aMohan, Raja
700 _aWong, Victor W
790 _aHiggins JP, Katz RD, Mohan R, Wong VW
856 _uhttps://dx.doi.org/10.1016/j.jhsa.2016.11.023
_zhttps://dx.doi.org/10.1016/j.jhsa.2016.11.023
942 _cART
_dArticle
999 _c2922
_d2922