Free phalangeal transfer: donor-site outcome.
The role of non-vascularised free proximal phalangeal transfer in digital reconstruction in children remains controversial. Significant cosmetic and functional deficits can result in the donor foot. We compare the donor-site outcome following a new technique of reconstruction using a cylindrical iliac-crest bone graft (n = 11) with the outcome following the technique previously described by Buck-Gramcko (n = 18). We have found better preservation of toe stability and length following the bone-graft technique.
Bourke
G
G
Department of Plastic, Reconstructive and Hand Surgery, St James's University Hospital, Leeds, UK.
Kay
S P J
SP
D016025:Bone Transplantation / Q000379:methods*; D002675:Child, Preschool; D005531:Foot Deformities, Acquired / Q000209:etiology / Q000601:surgery; D006228:Hand Deformities, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D014034:Toes / Q000637:transplantation*; D016896:Treatment Outcome