Dautel G
CHU de Nancy, centre chirurgical Émile-Gallé, service de chirurgie de la main, 49, rue Hermite, 54000 Nancy, France.
Hand Surg Rehabil. 2018 Dec;37(6):329-336. doi: 10.1016/j.hansur.2018.03.008. Epub 2018 Oct 15.
Vascularized toe joint transfers are used for proximal interphalangeal (PIP) or metacarpophalangeal reconstruction of the fingers in children or young adults, as an alternative to joint arthroplasty. In children, this reconstruction aims to restore range of motion (ROM) and the growing capacities. The typical donor sites are the PIP or metatarsophalangeal joints of the second toe. These transfers are performed with short vascular pedicles in order to simplify the surgical technique and reduce the overall morbidity. Local flaps and joint fusion are used to reconstruct the donor toe. Indications for these transfers are mainly compound defects due to trauma or infection. While these reconstructions provide a long-lasting result, the ROM achieved is always smaller than the normal ROM of the recipient joint.
血管化趾关节移植用于儿童或年轻成人手指近端指间关节（PIP）或掌指关节的重建，作为关节置换术的替代方法。对于儿童，这种重建旨在恢复活动范围（ROM）和生长能力。典型的供区是第二趾的近端指间关节或跖趾关节。这些移植采用短血管蒂进行，以简化手术技术并降低总体发病率。局部皮瓣和关节融合用于重建供趾。这些移植的适应症主要是创伤或感染导致的复合缺损。虽然这些重建能提供持久的效果，但所获得的活动范围总是小于受区关节的正常活动范围。
