[The possibility of isolated joint transplantation with microsurgery of the blood vessels].

The transplantation of isolated joints with intact blood supply and good biomechanic conditions is possible. Biomechanical and neurotropic disturbances lead eventually to progressive degenerative alterations. The regularly seen periarticular adhesions with reduced joint mobility may also reduce the clinical application. Considering our very good results of joint-replantation also good clinical results of the transplantation with vascular and neural anastomoses may be expected. Microsurgery has a proven place for bridging great bone defects with vascular bone fragments. Histological examinations show a prompt and regular bone metabolism in the transplanted bone.