Homodigital Vascularized Joint Transfer of Distal Interphalangeal Joint to Proximal Interphalangeal Joint-A Case Report

Abstract

Reconstruction of the damaged proximal interphalangeal (PIP) joint is a difficult task, especially in the young active patient. The distal interphalangeal (PIP) joint of the same digit, used as an island vascularized joint, can be useful for this potential transfer and its loss is well tolerated. We hereby report a 20-year-old male sustained an old trauma with stiff PIP joint of his right little finger. Following homodigital DIP to PIP joint transfer, the active motion of the PIP joint was restored from 0 to 65 degrees. With this procedure, the traumatized digit serves as its own donor and no other digit or toe is compromised, and because of its excellent result, it is currently our preferred method for young patient.