Mesh : Male Humans Adult Toe Joint / injuries Finger Injuries / surgery Metatarsophalangeal Joint / diagnostic imaging surgery Fingers Metacarpophalangeal Joint / diagnostic imaging surgery injuries

来  源:   DOI:10.2106/JBJS.CC.22.00180

Abstract:
A 27-year-old man underwent metacarpophalangeal joint reconstruction of his right middle finger using vascularized tissue from the distal component of the metatarsophalangeal joint of the right second toe. The donor site was reconstructed using a portion of the iliac bone and overlying tendinous fiber. The reconstructed metacarpophalangeal joint was stable 2 years postoperatively, and the arc of active motion was 80°. The reconstructed metatarsophalangeal joint did not interfere with walking. Radiography revealed the satisfactory condition of these joints.
Depending on the type of defective joint and soft tissue injuries, vascularized partial joint transplantation could be considered for reconstruction.
摘要:
方法:一名27岁的男子使用来自右第二足趾meta趾关节远端部分的血管化组织对他的右中指进行掌指关节重建。使用髂骨的一部分和上覆的腱纤维重建供体部位。重建掌指关节术后2年稳定,主动运动的弧度为80°。重建的meta趾关节不干扰行走。射线照相显示这些关节的状况令人满意。
结论:根据关节缺损和软组织损伤的类型,血管化部分关节移植可考虑重建。
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