FREE VASCULARIZED WHOLE JOINT TRANSFER IN CHILDREN

被引：25

作者：

ISHIDA, O ^{[1
]}

TSAI, TM ^{[1
]}

机构：

[1] CHRISTINE M KLEINERT INST HAND & MICRO SURG,ONE MED CTR PLAZA,SUITE 800,225 ABRAHAM FLEXNER WAY,LOUISVILLE,KY 40202

来源：

MICROSURGERY | 1991年 / 12卷 / 03期

关键词：

D O I：

10.1002/micr.1920120309

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Reconstruction of the traumatized finger joint with epiphyseal destruction has long been problematic. Since free vascularized whole joint transfer was introduced as a treatment for joint and epiphyseal destruction, this procedure has been selected as an alternative treatment because it may provide a growing epiphysis. We have reviewed our series of 19 joint transfers. Mean age at operation was 6.2 years (range 3 to 12). Average active range of motion was 31-degrees/61-degrees for the group with posttraumatic reconstruction (n = 12) and 21-degrees/43-degrees for the group with reconstruction of a congenital deformity (n = 7), with an overall average of 27-degrees/54-degrees. Average range of motion following transfer of an metatarsophalangeal (MTP) or metacarpophalangeal (MCP) joint to an MCP joint position was 39-degrees/75-degrees (n = 4); proximal interphalangeal (PIP) to PIP transfer was 22-degrees/39-degrees (n = 13); and PIP to MCP transfer was 38-degrees/51-degrees (n = 2). The proximal phalanges in MCP joints transferred to the MCP position grew an average of 7.0 mm, and the middle phalanges of joints transferre to the PIP position grew 4.3 mm. Almost normal growth was observed in all transferred joints except two that showed premature epiphyseal closure. Indications for this procedure and techniques to improve range of motion are described.

引用

页码：196 / 206

页数：11

共 35 条

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