ArticleThe Journal of hand surgery, European volume2026
Radial longitudinal deficiency: long-term outcomes of radialization and vascularized metatarsophalangeal joint transfer.
Article in The Journal of hand surgery, European volume, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionWe studied long-term outcomes of radialization and free vascularized second metatarsophalangeal joint transfer for radial longitudinal deficiency using patient-reported and objective outcome measures.
methodsPatients aged ⩾10 years with Bayne and Klug type III or IV radial longitudinal deficiencies were identified from national referral centres. Patients treated by radialization (
resultsThe 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.
conclusionsBoth 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.
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