Vascularised toe proximal interphalangeal joint transfer in posttraumatic finger joint reconstruction: The effect of skin paddle design on extensor lag

Functional Improvement with Free Vascularized Toe-to-hand Proximal Interphalangeal (PIP) Joint Transfer

“… 16 The cause of extensor lag and corrective methods are well defined in literature. 4 , 5 , 11 , 15 – 17 …”

“…According to our literature review, results of free vascularized toe-to-hand PIP joint transfer is discussed concerning the changes in ROM and grip strength 9 , 10 but not investigated in terms of functional change in pain relief, daily-life quality, and work-related activities with an objective and consistent method such as a questionnaire. 11 We tried to evaluate these terms with the help of Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire in our study.…”

Technical keys in maximizing finger proximal interphalangeal joint motion after vascularized toe joint transfers

“…Ever since Foucher performed the first free VJT in 1976, several authors have replicated his technique. The reported outcomes were not satisfactory (Chen et al., 2014; Squitieri and Chung, 2008). The most striking problem was an extensor lag of about 30° (Chen et al., 2014; Hierner and Berger, 2008).…”

Heterotopic Vascularized Joint Transfer in Mutilating Hand Injuries

“…The MPJ and PIPJ are responsible for most of a digit's ROM, whereas the point of DIPJ preservation is typically to preserve length, and therefore motion is not as significant a concern. 12 Hierner and Berger 6,20,21 proved that there was no significant difference in results between toe joint and heterodigit joint transplantation. Based on our experience, we can classify the heterotopic joint transfer as same level joint transfer, distal to proximal joint transfer, and proximal to distal joint transfer.…”