Free vascularized toe joint transfer to the hand. A technique for simultaneous reconstruction of the soft tissue

Twelve patients underwent reconstruction of injured finger joints using our technique of a vascularized transfer of the second toe proximal interphala ngeal joint. The age of the patients at operation ranged from 7 to 47 years and the postoperative follow-up was 9 to 48 months. All the joint transfer s survived and united with resolution of the preoperative joint pain, defor mity and instability. The average range of motion of the reconstructed join ts was 59 degrees in the proximal interphalangeal and 54 degrees in the met acarpophalangeal joints. No patient complained of pain or functional defici ts in the donor foot.