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Nonvascularized Toe Phalangeal Transfer and Distraction Lengthening for Symbrachydactyly

Bibliographic Data

ID23455753
AuthorsRyan W Patterson, Maximiliano Bernad Álvarez de Eulate, Maria Carmen Tirado Robles (0000-0003-0674-2358), William H Seitz (0000-0003-2907-9683), Sergio Salinas Alcega
Year2010
Volume35
Issue4
Pages652-658
Publication date2010-04-01
Open AccessYes
TypeARTICLE
VenueThe Journal of Hand Surgery (JOURNAL)
Journal identifiersISSN: 0363-5023 • E-ISSN: 1531-6564
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.jhsa.2010.01.011
PMID20353864
OpenAlexW20353864
LanguageEN
Citations received1
References cited8

Symbrachydactyly describes a spectrum of congenital hand differences consisting of digital loss resulting in fused short fingers. As the principles for distraction lengthening have evolved, the technique of nonvascularized toe phalangeal transfer to the hand with shortened digits has provided patients with improved outcomes. Nonvascularized toe phalanx to hand transplant with distraction lengthening restores functional length to a skeletally deficient, poorly functioning hand while maintaining an overlying layer of vascular and sensate tissue. The primary goal is improvement of digital length to enhance mechanical advantage and prehension. We describe the technique of nonvascularized toe phalangeal transfer and distraction lengthening for symbrachydactyly, including the following steps: nonvascularized proximal toe phalanx harvest, toe phalanx transfer to hand, pin placement, osteotomy, and closure.

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Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo

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