Vascularized Joint Transfer from Proximal Interphalangeal Joint to Metacarpophalangeal Joint- A Case Report

Abstract

Vascularized joint transfer has been used for the reconstruction of traumatized finger joints. We report a vascularized joint transfer from the proximal interphalangeal (PIP) joint to the metacarpophalangeal (MP) joint of right middle finger (RMF) in a 22-year-old male. The patient suffered from a crushing injury of his right hand and received replantation of the index and middle fingers and revision amputation of the ring and little fingers. The MP joint of middle finger was unstable because of pseudoarthrosis. The patient asked for improvement of his hand function without sacrifice of any donor site. Consider the importance of MP joint over PIP joint, vascularized PIP joint transfer to the MP joint and arthrodesis of the PIP joint were performed. Post-operative 10-month follow up showed the range of motion of the MP joint was 30 to 60 degrees and the middle finger become stable and helpful.