Messina A
Ann Chir Main. 1986;5(4):315-22. doi: 10.1016/s0753-9053(86)80008-4.
Our surgical experience in the field of total and partial foot-to-hand joint transplants has evolved over the past 9 years (1973). In the case of serious traumatic injury of finger joints of the hand, we don't suggest any surgical solution other than that of arthrodesis or arthroplasty of the damaged joint. In our experience joint transplantation is a reconstructive operation of the whole functionality of the injured finger. This operation partially restores the active function of the finger involved and gives both the patient and the surgeon the possibility of an alternative to arthrodesis, arthroplasty or painful instability of the destroyed joint, thus avoiding their characteristic disabilities. The transplantation guarantees a true stability of the joint and in the majority of cases the disappearance of pain. The technique described are the result of our experience in treating our clinical cases which consist of 20 patients treated, over more than 9 years at the Division of Hand Surgery of Traumatologic and Orthopaedic Center of Turin. The total number of transposed joints is 22, 16 of which are hemiarticular grafts. The operations have concerned 8 M.P. and 14 PIP joints of the fingers.
在过去9年（1973年）里，我们在全足和部分足到手关节移植领域的手术经验不断发展。对于手部手指关节的严重创伤性损伤，除了对受损关节进行关节固定术或关节成形术外，我们不建议采取任何其他手术解决方案。根据我们的经验，关节移植是对受伤手指整体功能的一种重建手术。该手术部分恢复了受累手指的主动功能，为患者和外科医生提供了一种替代关节固定术、关节成形术或受损关节疼痛性不稳定的选择，从而避免了它们的典型残疾情况。移植确保了关节的真正稳定性，并且在大多数情况下疼痛消失。所描述的技术是我们在都灵创伤与矫形中心手外科分部治疗20例临床病例的经验结果。移植关节的总数为22个，其中16个是半关节移植。手术涉及8个手指的掌指关节和14个近端指间关节。
