We report our results in ten cases of vascularized joint transfer to r
econstruct the proximal interphalangeal joint (five cases) or metacarp
ophalangeal joints (five cases). Donor sites were the proximal interph
alangeal or the metatarsophalangeal joints of the second toe. Indicati
ons for surgery were the need to reconstruct both the growth plate and
joint space in children or the impossibility of a conventional prosth
etic implant. The average range of motion was 44 degrees for the PIP j
oint and 53 degrees for the MP joint at a mean follow-up of 22.7 month
s.