Guimberteau J-C
Institut Aquitain de la main, 56 allée des Tulipes, Bordeaux-Pessac, France.
Chir Main. 2010 Dec;29 Suppl 1:S83-92. doi: 10.1016/j.main.2010.10.003. Epub 2010 Nov 13.
Over several years, the author has devised different techniques for difficult bony reconstruction in hand surgery. It is based on compound island transfers of ulnar origin, harvested from the forearm's lower third with reverses flow vascularization. Because of the variety of arterial ramifications, these transplants can consist, either of a simple bone ulnar fragment or when associated, of compound cutaneous-osseous, or even cutaneous-tendineous-osseous transplants. These transplants based on a clinical experience of 49 cases can be used by retrograde rotation for a variety of indications such a recalcitrant nonunion of the scaphoid bone, Kienböck disease, osteochondroma with fracture, or severe post-traumatic sequellae. These procedures performed in one operating time permit reconstruction by using vascularized bone and offer large potential solutions improving bone healing.
多年来，作者设计了不同的技术用于手部手术中困难的骨重建。它基于源自尺骨的复合岛状转移，从前臂下三分之一处获取并带有逆向血流血管化。由于动脉分支的多样性，这些移植可以由简单的尺骨骨碎片组成，或者在联合时由复合皮-骨、甚至皮-腱-骨移植组成。基于49例临床经验的这些移植可通过逆行旋转用于多种适应症，如舟骨难治性骨不连、月骨无菌性坏死、骨折性骨软骨瘤或严重创伤后后遗症。在一次手术中进行的这些操作允许使用带血管骨进行重建，并提供改善骨愈合的巨大潜在解决方案。
