{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T22:56:27Z","timestamp":1785192987560,"version":"3.55.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T00:00:00Z","timestamp":1611878400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:p>Vascularized joint transfer (VJT) from the proximal interphalangeal joint (PIPJ) of the toe is an attractive reconstructive option in cases of nonsalvageable finger PIPJ but is limited by equivocal functional outcomes. This systematic review aims to provide an update on vascularized toe-to-finger PIPJ transfers, examining functional outcomes, complications, and the latest refinements in operative technique. A systematic review of the available literature was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies examining vascularized toe-to-finger PIPJ transfer for post-traumatic indications were included for analysis. Outcomes assessed included postoperative active range of motion, extension lag, and complications. Thirteen studies examining 210 VJTs were analyzed. Five VJTs experienced microsurgical failure giving an overall survival rate of 97.6%. Average postoperative PIPJ active range of motion (ROM) was 40.3\u00b0 \u00b1 12.9\u00b0, with an average extensor lag of 29\u00b0 \u00b1 10.5\u00b0 and mean flexion of 68.9\u00b0 \u00b1 10.9\u00b0. For studies reporting complication outcomes, 59\/162 complications were seen. No significant differences were seen between studies published prior to 2013 and after 2013 when comparing digital ROM ( P = .123), flexion ( P = .602), and extensor lag ( P = .280). Studies using a reconstructive algorithm based on prior assessment of the donor toe central slip and recipient finger anatomy had significantly improved ROM outcomes ( P = .013). Although VJT provides a reliable option for autologous reconstruction in posttraumatic joints, it is limited by impaired postoperative ROM. Careful assessment of the donor toe and recipient finger anatomy followed by systematic and meticulous reconstruction may lead to improved functional outcomes.<\/jats:p>","DOI":"10.1177\/1558944720988081","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T05:33:54Z","timestamp":1611898434000},"page":"1031-1038","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Toe-to-Finger Vascularized Joint Transfers for Proximal Interphalangeal Joint Reconstruction: A Systematic Review"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1490-904X","authenticated-orcid":false,"given":"Kiane J.","family":"Zhou","sequence":"first","affiliation":[{"name":"The University of Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3421-822X","authenticated-orcid":false,"given":"David J.","family":"Graham","sequence":"additional","affiliation":[{"name":"Gold Coast University Hospital, Southport, QLD, Australia"},{"name":"Australian Collobaration for Research on the Hand [ARCH], QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard D.","family":"Lawson","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital, St Leonards, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0890-2132","authenticated-orcid":false,"given":"Brahman S.","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital, St Leonards, NSW, Australia"},{"name":"Hornsby Ku-ring-gai Hospital, Hornsby, NSW, Australia"},{"name":"Australian Collobaration for Research on the Hand [ARCH], QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,1,29]]},"reference":[{"key":"bibr1-1558944720988081","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2017.12.010"},{"key":"bibr2-1558944720988081","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_86_90164-6"},{"key":"bibr3-1558944720988081","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003153"},{"key":"bibr4-1558944720988081","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0000000000000126"},{"key":"bibr5-1558944720988081","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"bibr6-1558944720988081","unstructured":"Wells G, Shea B, O\u2019Connell D, et al. 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