Vascularized toe joint transplantation

The vascularized toe joint transfer is an alternative to arthrodesis. For o ptimal functional results, the patient must have normal-functioning muscle and associated tendons, effecting joint motion. Although vascularized toe j oint transfer permits long-term preservation of joint architecture and cart ilage, the goal of achieving normal range of motion for a reconstructed dig it is still elusive. Reconstruction of the extensor mechanism can be worthw hile in selected patients because more useful motion can be achieved even i f the result falls short of normal.