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J Hand Microsurg 2023; 15(02): 152-155
DOI: 10.1055/s-0041-1732807
Case Report

Free Vascularized Joint Transfer from Toes for Finger Reconstruction in a 2-Year-Old Child with Good Functional Recovery

Jyoshid R. Balan 
1   Department of Plastic Surgery, Susrutha Institute of Plastic, Reconstructive, and Aesthetic Surgery, Elite Mission Hospital, Thrissur, Kerala, India
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Abstract

A 2-year-old male child sustained injury to middle and ring fingers of the right hand following a road traffic accident. He had mutilated fingers with loss of middle phalanx along with proximal interphalangeal (PIP) joint, distal interphalangeal joint of middle finger, and loss of part of middle phalanx and PIP joint of the ring finger. There was dorsal tissue loss of both the fingers. With staged reconstructive strategy, we could salvage the fingers. In the initial part, the soft tissue reconstruction was done using pedicled groin flap. In the later stage, free PIP joint transfer from the second toes of both feet was used to reconstruct the bone and PIP joint of the ring and middle finger. A year following the joint transfer, the child had good functional outcome.

Keywords

free joint transfer - vascularized - reconstruction

Financial Disclosures

None.




Publication History

Article published online:
03 August 2021

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