Tsai T M, Singer R
J Hand Surg Am. 1984 Nov;9(6):816-20. doi: 10.1016/s0363-5023(84)80054-4.
Alternatives to the treatment of major injuries to the proximal interphalangeal (PIP) joint include fusion, implant arthroplasty, perichondrial grafting, single autogenous free vascularized transfer, and double autogenous free vascularized transfer. A patient presented a gunshot wound to the index finger with loss of skin and extensor tendon and PIP joint disruption. The finger was reconstructed with a composite free flap of skin and extensor tendon and PIP and distal interphalangeal joints of the second toe. A follow-up of 10 months is presented, which demonstrates PIP joint motion and finger function.
近端指间（PIP）关节严重损伤的治疗替代方法包括融合术、植入式关节成形术、软骨膜移植、单一自体游离血管化转移和双重自体游离血管化转移。一名患者食指遭受枪伤，皮肤、伸肌腱缺失，PIP关节脱位。采用第二趾的皮肤、伸肌腱复合游离皮瓣以及PIP关节和远侧指间关节对该手指进行了重建。现报告10个月的随访情况，结果显示PIP关节活动及手指功能良好。
