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

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• 作者：Jiuzhou Lu ; MD ; PhD^&lowast ; ; Youlai Zhang ; MD^&lowast ; ; Junjiang Jiang ; MD ; PhD^&lowast ; ; Lei Xu ; MD ; PhD^&lowast ; ; Harvey Chim ; MD^&dagger ; ; ^{harveychim@yahoo.com}
• 关键词：Toe to hand transfer ; distraction osteogenesis ; finger amputation ; microsurgery ; toe transfer
• 刊名：The Journal of Hand Surgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：42
• 期：1
• 页码：e33-e39
• 全文大小：1561 K
• 卷排序：42

文摘

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.MethodsWe performed a retrospective review of 3 patients with a mean follow-up of 30 months.ResultsA 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.ConclusionsDistraction lengthening of vascularized toe transfers is a feasible undertaking.Type of study/level of evidenceTherapeutic V.