Reconstructing finger hemiarthrosis injury with free second toe hemiarthrosis graft
10.3760/cma.j.issn.1001-2036.2012.01.007
- VernacularTitle:游离足第二趾半关节移植重建手指半关节损伤
- Author:
Guoping ZOU
;
Jihui JU
;
Hailiang LIU
;
Ruixing. HOU
- Publication Type:Journal Article
- Keywords:
Finger;
Joint;
Second toe;
Transplantation;
Microsurgical operation
- From:
Chinese Journal of Microsurgery
2012;35(1):13-15
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo report the clinical results of applying free second toe hemiarthrosis to repair finger hemiarthrosis injury,and discussed the countermeasures of relative problems.MethodsFrom June 2005 to January 2010, thirteen fingers of 13 patients with traumatic finger joint injury had repaired by using vascularized second toe hemiarthrosis graft.ResultsAll 13 grafted fingers survived,and all wounds were primary healing.The time of follow-up was between 1.5 and 4.5 years,average of 3.2 years.All grafted joints were healed and the remaining joints were normal in morphology and structure,except for 1 patient subluxation with dorsal slightly convex.No degenerative changes happened to the grafted joints.No pain and no joint instability phenomenon.Nonunion and re-fracture phenomenon did not appear.The average extension of joint motion was 0°.The average flexion was 80°.Healing of the foot donate areas were satisfactory,and did not affect walking function.Using TAM assessment method of the hand joint function,the excellent rate was 90％.ConclusionThe way of using free second toe hemiarthrosis to repair finger hemiarthrosis injury could achieve satisfactory clinical efficacy.To completed set-up of transplanted joint structure and function units,a delicate surgery were improved to be important factors of the surgical treatment.
