ABSTRACT
Irreducible dorsal dislocation of the interphalangeal joint of the great toe is rare. Few case reports can be found in the literature. Most cases have been treated with operative exploration of the joint and reduction through a dorsal midline incision. We present a case where a medial approach was used under local block anesthesia to treat an irreducible complex dislocation of the interphalangeal joint of the great toe.
Subject(s)
Joint Dislocations/surgery , Metatarsophalangeal Joint/injuries , Metatarsophalangeal Joint/surgery , Adolescent , Female , Humans , Joint Dislocations/diagnostic imaging , Metatarsophalangeal Joint/diagnostic imaging , Radiography , Range of Motion, Articular , Toe Joint/diagnostic imaging , Toe Joint/surgeryABSTRACT
New methods of treatment have greatly improved the success of limb salvage in severe lower extremity trauma. We report the use of a microvascular free tissue transfer and distraction osteogenesis in the reconstruction of soft tissue and bone defects complicated by infection. Soft tissue coverage and bony stabilization by external fixation resulted in eradication of the infection. The external fixator also allowed bone transport and regeneration to overcome a bone defect of approximately 6 cm. Bone transportation can be accomplished in a distal to proximal direction if the situation necessitates it. These techniques are extremely versatile and useful in the treatment of bone and soft tissue defect.
