Guerra J, Resnick D, Gelberman R H, Reznek R, Cone R O
Radiology. 1984 Sep;152(3):591-4. doi: 10.1148/radiology.152.3.6463239.
The clinical records and radiographs of 45 patients who had undergone replantation of a total hand, or a part thereof, were reviewed in order to determine the prevalence and the type of articular changes occurring distal to the site of anastomoses. In three patients, destructive joint changes were observed, consisting of bony fragmentation, spiculation, and cystic or erosive lesions. These changes, which developed between five and ten months after replantation, are most likely neuropathic or osteonecrotic in pathogenesis.
回顾了45例全手或部分手部再植患者的临床记录和X线片，以确定吻合部位远端关节变化的发生率和类型。在3例患者中观察到破坏性关节变化，包括骨质碎裂、骨针形成以及囊性或侵蚀性病变。这些变化在再植后5至10个月出现，其发病机制很可能是神经性或骨坏死性的。
