Distraction Lengthening Following Vascularized Second Toe Transfer for Isolated Middle Finger Reconstruction

Jiuzhou Lu, Youlai Zhang, Junjiang Jiang, Lei Xu, Harvey Chim

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Purpose We report the use of distraction lengthening of the middle phalanx after vascularized second toe transfer for middle finger reconstruction to lengthen the digit to match the index and ring fingers. Methods We performed a retrospective review of 3 patients with a mean follow-up of 30 months. Results A mean increase of 2.0 cm in the length in the digit was achieved. The range of motion at the proximal interphalangeal joint was preserved and bony union was seen at the distraction site in all 3 cases. All patients had an excellent functional and aesthetic outcome. Conclusions Distraction lengthening of vascularized toe transfers is a feasible undertaking. Type of study/level of evidence Therapeutic V.

Original languageEnglish (US)
Pages (from-to)e33-e39
JournalJournal of Hand Surgery
Volume42
Issue number1
DOIs
StatePublished - Jan 1 2017

Keywords

  • distraction osteogenesis
  • finger amputation
  • microsurgery
  • Toe to hand transfer
  • toe transfer

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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