Ellis P R, Hanna D, Tsai T M
Christine M. Kleinert Institute for Hand and MicroSurgery, Louisville, Ky.
J Hand Surg Am. 1991 Jan;16(1):160-8. doi: 10.1016/s0363-5023(10)80036-x.
We report a retrospective review of our series of thirty-one single joints harvested from the toe in twenty-six patients and transferred to the metacarpophalangeal or proximal interphalangeal joint of the finger. Twenty-six transfers were done in traumatic cases and five in congenital. Follow-up averaged 22.6 months. Average range of motion was from 17.1 degrees to 44.3 degrees, with an arc of 27.2 degrees. The congenital group had an average motion ranging from 14.4 degrees to 27.2 degrees and an arc of 12.8 degrees. The traumatic group's motion was from 17.6 degrees to 47.6 degrees and an arc of 30.0 degrees. Complication rates were significant, with fifty percent of the patients experiencing one or more complications. Although vascularized joint transfer is a demanding procedure, it provides a reasonable alternative to arthrodesis and with further refinement in technique may become a reliable treatment option.
我们报告了对从26例患者脚趾获取的31个单关节系列进行的回顾性研究，这些关节被转移至手指的掌指关节或近端指间关节。26例转移用于创伤性病例，5例用于先天性病例。平均随访时间为22.6个月。平均活动范围为17.1度至44.3度，活动弧度为27.2度。先天性组的平均活动范围为14.4度至27.2度，活动弧度为12.8度。创伤性组的活动范围为17.6度至47.6度，活动弧度为30.0度。并发症发生率较高，50%的患者出现一种或多种并发症。尽管带血管蒂关节转移是一项要求较高的手术，但它为关节融合术提供了一种合理的替代方法，随着技术的进一步改进，可能会成为一种可靠的治疗选择。
