Tsai T M, Singer R, Elliott E, Klein H
J Hand Surg Br. 1985 Feb;10(1):85-9. doi: 10.1016/s0266-7681(85)80026-7.
The results of treatment of severe injuries to the proximal interphalangeal joint are unsatisfactory. The methods of joint reconstruction are discussed, including fusion, implant arthroplasty, perichondrial grafting and vascularized joint transfer. A patient is presented with a severe crush injury to the dorsum of the index finger with loss of skin and extensor tendon and proximal interphalangeal joint disruption. Immediate reconstruction of the finger is described using a composite free flap of skin, extensor tendon and proximal interphalangeal joint from the second toe. Follow-up at two years is described, demonstrating proximal interphalangeal motion and finger function.
近端指间关节严重损伤的治疗结果并不理想。本文讨论了关节重建的方法，包括融合术、植入物关节成形术、软骨膜移植和带血管蒂关节转移。报告了1例示指背侧严重挤压伤患者，伴有皮肤、伸肌腱缺损及近端指间关节脱位。描述了采用取自第二趾的皮肤、伸肌腱和近端指间关节复合游离皮瓣即刻重建手指的方法。报告了2年的随访情况，显示近端指间关节活动及手指功能良好。
