Microvascular Toe Joint for Proximal Interphalangeal Joint Replacement: Indications, Technique, and Outcomes

Ryan D. Katz, James P. Higgins

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)207-216
Number of pages10
JournalHand clinics
Volume34
Issue number2
DOIs
StatePublished - May 2018

Keywords

  • Free joint transfer
  • Indications
  • Joint replacement
  • Outcomes
  • Technique
  • Toe to hand

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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