title: Elective free vascularized double transfer of toe joint from second toe to proximal interphalangeal joint of index finger: a case report.
abstract: Alternatives to the treatment of major injuries to the proximal interphalangeal (PIP) joint include fusion, implant arthroplasty, perichondrial grafting, single autogenous free vascularized transfer, and double autogenous free vascularized transfer. A patient presented a gunshot wound to the index finger with loss of skin and extensor tendon and PIP joint disruption. The finger was reconstructed with a composite free flap of skin and extensor tendon and PIP and distal interphalangeal joints of the second toe. A follow-up of 10 months is presented, which demonstrates PIP joint motion and finger function.
mesh_terms: D000328:Adult; D005383:Finger Injuries / Q000209:etiology / Q000601:surgery*; D005384:Finger Joint / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D013524:Surgical Flaps; D014033:Toe Joint / Q000637:transplantation*; D014948:Wounds, Gunshot / Q000601:surgery*