Chen S H, Wei F C, Noordhoff S M
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, China.
J Trauma. 1992 Dec;33(6):924-30. doi: 10.1097/00005373-199212000-00026.
The loss of function of the metacarpophalangeal joint is a significant disability. Simultaneous reconstruction of the soft tissue, extensor mechanism, joint, and flexor tendon in a complex hand injury is difficult and challenging. Free vascularized autogenous toe joint transplantation is a useful technique that provides not only joint replacement but also the soft tissue, extensor mechanism, and flexor tendon in more severe complex hand injuries. Two patients underwent immediate, free vascularized metatarsophalangeal joint transfer of the second toe to replace the long and ring finger metacarpophalangeal joint in acute complex hand injuries. The follow-up results at 16 months and 8 months postoperatively are presented.
掌指关节功能丧失是一种严重的残疾。在复杂的手部损伤中同时重建软组织、伸肌装置、关节和屈肌腱既困难又具有挑战性。游离带血管蒂自体趾关节移植是一种有用的技术，它不仅能进行关节置换，还能用于更严重的复杂手部损伤中软组织、伸肌装置和屈肌腱的重建。两名患者在急性复杂手部损伤中接受了即刻游离带血管蒂第二趾跖趾关节转移，以替代示指和环指的掌指关节。现展示术后16个月和8个月的随访结果。
