title: Distraction Lengthening Following Vascularized Second Toe Transfer for Isolated Middle Finger Reconstruction.
abstract: OBJECTIVE
  We report the use of distraction lengthening of the middle phalanx after vascularized second toe transfer for middle finger reconstruction to lengthen the digit to match the index and ring fingers.
  
  
  METHODS
  We performed a retrospective review of 3 patients with a mean follow-up of 30 months.
  
  
  RESULTS
  A mean increase of 2.0 cm in the length in the digit was achieved. The range of motion at the proximal interphalangeal joint was preserved and bony union was seen at the distraction site in all 3 cases. All patients had an excellent functional and aesthetic outcome.
  
  
  CONCLUSIONS
  Distraction lengthening of vascularized toe transfers is a feasible undertaking.
  
  
  METHODS
  Therapeutic V.
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Jiuzhou
authors.initials: J
authors.lastname: Lu
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Youlai
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Junjiang
authors.initials: J
authors.lastname: Jiang
authors.affiliation: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Xu
authors.affiliation: Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, FL. Electronic address: harveychim@yahoo.com.
authors.forename: Harvey
authors.initials: H
authors.lastname: Chim
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery; D019857:Osteogenesis, Distraction / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D014034:Toes / Q000637:transplantation*; D016896:Treatment Outcome
keywords: Toe to hand transfer; distraction osteogenesis; finger amputation; microsurgery; toe transfer