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Free Vascularised Toe Joint Transfer for Reconstruction of the Metacarpo-Phalangeal Joint

From the Plastic Surgical Research Centre, Mount Vernon Hospital, Northwood

Correspondence: Mr. T. E. E. Goodacre, Department of Plastic Surgery, Queen Mary’s University Hospital, Roehampton, London SW15

Two single and two double free vascularised joint transfers from the foot to hand have been undertaken in four patients over a period of four years. All were to replace metacarpo-phalangeal joints in young patients in whom the use of prosthetic devices was considered unsuitable. All the transfers were successfully completed, but one failed late in the second post-operative week due to sepsis. The results of the remaining three transfers compare favourably with prosthetic arthroplasty and continue to improve. Donor site morbidity in the foot has been minimal and is reviewed.

Journal of Hand Surgery (British and European Volume), Vol. 15, No. 2, 262-267 (1990)
DOI: 10.1016/0266-7681(90)90134-P


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