Macionis V
Department of Plastic and Reconstructive Microsurgery, Vilnius University Red Cross Hospital, Lithuania.
Plast Reconstr Surg. 1997 Jun;99(7):2066-70.
Simultaneous reconstruction of a traumatic defect of the trapeziometacarpal joint and the first metacarpal with a composite dorsalis pedis flap is described. The transplant, consisting of the second metatarsal and the second metatarsophalangeal joint, was reversed at the defect site for the metatarsophalangeal joint to become a new trapeziometacarpal joint. A long vascular pedicle was necessary for direct micro-vascular anastomoses to the radial vessels at the wrist. This transfer can be expected to be effective in reconstructing composite hand defects involving the trapeziometacarpal joint and the entire first metacarpal bone.
本文描述了使用复合足背皮瓣同时重建大多角骨-第一掌骨关节创伤性缺损和第一掌骨的方法。该移植物由第二跖骨和第二跖趾关节组成，在缺损部位翻转，使跖趾关节成为新的大多角骨-第一掌骨关节。需要一个长血管蒂以便与腕部的桡血管进行直接微血管吻合。这种转移有望有效重建涉及大多角骨-第一掌骨关节和整个第一掌骨的复合手部缺损。
