Radial longitudinal deficiency: long-term outcomes of radialization and vascularized metatarsophalangeal joint transfer Article Swipe
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· 2025
· Open Access
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· DOI: https://doi.org/10.1177/17531934251391119
Introduction: We studied long-term outcomes of radialization and free vascularized second metatarsophalangeal joint transfer for radial longitudinal deficiency using patient-reported and objective outcome measures. Methods: Patients aged ⩾10 years with Bayne and Klug type III or IV radial longitudinal deficiencies were identified from national referral centres. Patients treated by radialization ( n = 15 limbs) and metatarsophalangeal joint transfer ( n = 17 limbs) were assessed after a median follow-up of 13 years. Results: The respective scores after metatarsophalangeal joint transfer and radialization were: median Disabilities of Arm, Shoulder, and Hand scores 19 (95% CI: 7 to 25) and 19 (16 to 29); patient-rated wrist evaluation scores 11 (95% CI: 8 to 22) and 24 (95% CI: 10 to 38); and satisfaction with cosmesis 5 (95% CI: 3 to 6) and 8 (95% CI: 7 to 10). Median wrist active range of motion values were 90° (95% CI: 70 to 90) and 50° (95% CI: 30 to 60) and median wrist deviations were 20° (95% CI: 15 to 30) and 30° (95% CI: 15 to 60) after joint transfer and radialization, respectively. Secondary wrist procedures were more frequent in the joint transfer group. Conclusions: Both techniques yield good functional outcomes. Joint transfer produced a more consistent and larger range of active wrist extension–flexion but with poorer cosmetic results than radialization. Level of evidence: IV
Related Topics
- Type
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- Language
- en
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- https://doi.org/10.1177/17531934251391119
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https://openalex.org/W7104662908Canonical identifier for this work in OpenAlex
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https://doi.org/10.1177/17531934251391119Digital Object Identifier
- Title
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Radial longitudinal deficiency: long-term outcomes of radialization and vascularized metatarsophalangeal joint transferWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
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2025Year of publication
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2025-11-11Full publication date if available
- Authors
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Niko Kämppä, Petra Grahn, Pasi Paavilainen, Yrjänä Nietosvaara, Jarkko JokihaaraList of authors in order
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https://doi.org/10.1177/17531934251391119Publisher landing page
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://doi.org/10.1177/17531934251391119Direct OA link when available
- Concepts
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Medicine, Wrist, Cosmesis, Joint (building), Range of motion, Orthodontics, Surgery, Transfer (computing), Metatarsophalangeal joints, Upper limb, Radiography, Druj, Tendon transfer, Physical therapy, Longitudinal studyTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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