Proximalization of the Vascularized Toe Joint in Finger Proximal Interphalangeal Joint Reconstruction

A Technique to Derive Optimal Flexion From a Joint With Expected Limited Motion

Raja Mohan, Victor W. Wong, James Patrick Higgins, Ryan Katz

Research output: Contribution to journalReview article

Abstract

When 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.

Original languageEnglish (US)
Pages (from-to)e125-e132
JournalJournal of Hand Surgery
Volume42
Issue number2
DOIs
StatePublished - Feb 1 2017

Fingerprint

Toe Joint
Finger Joint
Joints
Fingers

Keywords

  • Free toe joint
  • proximal interphalangeal joint
  • proximalization
  • reconstruction

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

@article{718f28e8ffff4bcebd0b6c153c21f826,
title = "Proximalization of the Vascularized Toe Joint in Finger Proximal Interphalangeal Joint Reconstruction: A Technique to Derive Optimal Flexion From a Joint With Expected Limited Motion",
abstract = "When 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.",
keywords = "Free toe joint, proximal interphalangeal joint, proximalization, reconstruction",
author = "Raja Mohan and Wong, {Victor W.} and Higgins, {James Patrick} and Ryan Katz",
year = "2017",
month = "2",
day = "1",
doi = "10.1016/j.jhsa.2016.11.023",
language = "English (US)",
volume = "42",
pages = "e125--e132",
journal = "The Hand",
issn = "1753-1934",
publisher = "SAGE Publications Ltd",
number = "2",

}

TY - JOUR

T1 - Proximalization of the Vascularized Toe Joint in Finger Proximal Interphalangeal Joint Reconstruction

T2 - A Technique to Derive Optimal Flexion From a Joint With Expected Limited Motion

AU - Mohan, Raja

AU - Wong, Victor W.

AU - Higgins, James Patrick

AU - Katz, Ryan

PY - 2017/2/1

Y1 - 2017/2/1

N2 - When 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.

AB - When 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.

KW - Free toe joint

KW - proximal interphalangeal joint

KW - proximalization

KW - reconstruction

UR - http://www.scopus.com/inward/record.url?scp=85008145800&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85008145800&partnerID=8YFLogxK

U2 - 10.1016/j.jhsa.2016.11.023

DO - 10.1016/j.jhsa.2016.11.023

M3 - Review article

VL - 42

SP - e125-e132

JO - The Hand

JF - The Hand

SN - 1753-1934

IS - 2

ER -