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KMID : 0358820090360040450
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2009 Volume.36 No. 4 p.450 ~ p.457
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Tenolysis after the Reconstruction of PIP Joint of the Finger using Second Toe PIP Joint Free Flap
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Kim Jin-Soo
Lee Dong-Chul
Ki Sae-Hwi
Roh Si-Young
Yang Jae-Won
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Abstract
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Purpose: The second toe PIP joint free flap is a method of reconstruction used for abnormalities of the PIP joint of the finger. We report the results of the additional tenolysis in patients with a difference between passive ROM and active ROM after second toe PIP joint free flap.
Methods: From March 2001 to July 2008, tenolysis was performed in patients with a difference in their active and passive ROM after second toe PIP joint free transfer, performed on 14 fingers. We performed a retrospective analysis of the medical records, noting the clinical and radiological findings. In addition, we measured the preoperative and postoperative range of motion of the PIP joint.
Results: The average active ROM was 22.5° in three months after the joint transfer surgery, and was 38° after additional tenolysis from five months to twelve months after the joint transfer.
Conclusions: Additional tenolysis, after the second toe PIP joint free flap, might be a good option with an improved results in patients with difference in active and passive ROM of a transferred PIP joint.
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KEYWORD
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Second toe joint free flap, Joint transfer, Tenolysis, PIPJ reconstruction
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