Abstract

GAGLIANO CANESSA, Jorge L; SOLANO ALVAREZ, Manuel F  and  CARDENAS GUIO, Sara. Vascularized toe-to-hand joint transplantation in pediatric patient. Case report. Cir. plást. iberolatinoam. [online]. 2023, vol.49, n.4, pp.393-398.  Epub Feb 05, 2024. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-78922023000400013.

Hand injuries have a high frequency and impact on the functionality of those who suffer from them, so their correct initial approach and the appropriate choice of reconstructive options require special attention.

We present the case of a 6-year-old patient with bone and proximal interphalangeal joint injury of the second finger of the right hand due to a firearm projectile, reconstructed by vascularized joint transplantation. The advantages were obtaining good joint functionality, acceptable ranges of mobility and absence of pain; uniform digital growth due to preserved ossification nuclei; no bone resorption or joint degeneration, and low impact sequelae at the donor site.

Level of evidence 4d Therapeutic

Keywords : Arthroplasty; Finger replacement; Toe-to-hand transplantation; Hand trauma; Pediatric hand.

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