Salvage of failed proximal interphalangeal arthroplasty with vascularised toe joint transfer: Report of two cases.

Autor: Lim JX; Hand Surgery, Private practice, Serrano 58, 1B 28001 Madrid, Spain; Hand and Reconstructive Microsurgery Department, National University Health System, 1E Kent Ridge Road, 119228 Singapore. Electronic address: limjinxi@gmail.com., Bustamante Ybarra L; Hand Surgery, Private practice, Serrano 58, 1B 28001 Madrid, Spain., Tomé G; Hand Surgery, Private practice, Serrano 58, 1B 28001 Madrid, Spain., Koczka D; Hand Surgery, Private practice, Serrano 58, 1B 28001 Madrid, Spain., Tovar-Bazaga M; Hand Surgery, Private practice, Serrano 58, 1B 28001 Madrid, Spain., Del Piñal F; Hand Surgery, Private practice, Serrano 58, 1B 28001 Madrid, Spain.
Jazyk: angličtina
Zdroj: Hand surgery & rehabilitation [Hand Surg Rehabil] 2024 Sep; Vol. 43 (4), pp. 101695. Date of Electronic Publication: 2024 Apr 18.
DOI: 10.1016/j.hansur.2024.101695
Abstrakt: Failed implants of the proximal interphalangeal joint may result in bone and soft tissue deficits and joint instability with limited reliable options for reconstruction besides an arthrodesis procedure. The purpose of this report is to illustrate the use of vascularized second toe joint for salvage of failed, multi-operated proximal interphalangeal joint in two active patients. Pre-existing scars are used to define the approach and choice of donor site. Flow through anastomosis was performed on the finger digital artery. At final follow-up, the transplanted joints achieved 80-90 degrees of motion and the patients were able to return to their desired level of activities. The procedure is a good alternative for the fit patient wanting to achieve a stable finger with preservation of motion in catastrophic failure of prosthetic proximal interphalangeal joint arthroplasty.
(Copyright © 2024. Published by Elsevier Masson SAS.)
Databáze: MEDLINE
Externí odkaz: