Jeong Jae-Jung, Kim Young-Yul, Ji Jong-Hun, Park Sang-Eun
The Catholic University of Korea, Daejeon St. Mary's Hospital College of Medicine, Department of Orthopaedic Surgery, Seoul, Korea.
Acta Orthop Traumatol Turc. 2015;49(6):701-5. doi: 10.3944/AOTT.2015.14.0028.
Chronic proximal interphalangeal joint (PIPJ) instability of the finger is rare, and when it occurs usually requires surgical reconstruction. Complications arising from failed ligament reconstruction may result in a situation more difficult to address than the initial reconstruction. This situation is more likely for the finger than other orthopaedic reconstructions because the phalangeal bones are so small. We present a case of chronic radial PIPJ instability of the finger and severe bony defect caused by multiple failed ligament reconstructions that was treated successfully using a modification of the bone-ligament-bone graft technique.
手指慢性近端指间关节（PIPJ）不稳定较为罕见，一旦发生通常需要手术重建。韧带重建失败引起的并发症可能导致比初次重建更难处理的情况。与其他骨科重建相比，手指出现这种情况的可能性更大，因为指骨非常小。我们报告一例手指慢性桡侧PIPJ不稳定及多次韧带重建失败导致严重骨缺损的病例，采用改良的骨-韧带-骨移植技术成功治疗。
