Gu Y D, Zhang G M, Chen D S
Department of Hand Surgery, Hua Shan Hospital Shanghai Medical University.
Zhonghua Wai Ke Za Zhi. 1994 Feb;32(2):77-8.
From 1972 to 1990 seven kinds of microsurgical operations were used for treatment of bone and joint defects of hand. Among these cases 23 survived and 1 failed. The patients were followed up for 2-20 years. The functional results were good in 77.4%. The improved surgical procedures: (1) Use dorsalis pedis artery as the single pedicle to provide double vascular supply for double joint graft from one toe. (2) Change the fixing position of metatarsal to increase the degree of motion of the joint. The operative indications and the factors related to the survival and function are discussed.
1972年至1990年期间，采用7种显微外科手术治疗手部骨与关节缺损。在这些病例中，23例存活，1例失败。对患者进行了2至20年的随访。功能恢复良好率为77.4%。改进的手术方法：（1）以足背动脉为单一蒂，为取自一个足趾的双关节移植提供双重血供。（2）改变跖骨的固定位置，以增加关节的活动度。文中讨论了手术适应证以及与存活和功能相关的因素。
