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Tenolysis after the reconstruction of PIP joint of the finger using second toe PIP joint free flap  

Park, Hyoung Joon (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital)
Lee, Dong Chul (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital)
Kim, Jin Soo (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital)
Ki, Sae Hwi (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital)
Roh, Si Young (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital)
Yang, Jae Won (Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital)
Publication Information
Archives of Plastic Surgery / v.36, no.4, 2009 , pp. 450-457 More about this Journal
Abstract
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 $22.5^{\circ}$ at the three months after the joint transfer surgery, and was $38^{\circ}$ after additional tenolysis between five months and twelve months after the joint transfer. Conclusions: Additional tenolysis, after the second toe PIP joint free flap, might be a good option for improved results in patients with difference in active and passive ROM of a transferred PIP joint.
Keywords
Second toe joint free flap; Joint transfer; Tenolysis; PIPJ reconstruction;
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