改良第2跖趾关节复合组织移植重建掌指关节的解剖基础及临床应用

中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (1): 105-108.

改良第2跖趾关节复合组织移植重建掌指关节的解剖基础及临床应用

杨　涛，　王　利，　陈传煌，　宫云霞，　李文庆，　朱小弟

广东医学院附属南山医院手足外科，广东深圳 518052

收稿日期:2010-06-03 发布日期:2011-01-24
通讯作者: 王　利，主任医师，E-mail:sznswl@163.com E-mail:sznsytao@163.com
作者简介:杨涛（1972-），男，广东深圳人，硕士，主治医师，主要从事显微外科、手足外科临床工作，Tel:13714072403

Anatomy and clinical application of transplanting modified the second metatarsophalangeal joint for metacarpophalangeal joint reconstruction

YANG Tao,WANG Li,CHEN Chuan-huang, GONG Yun-xia, LI Wen-qing, ZHU Xiao-di

Department of Hand-Foot Surgery, Nanshan Hospital of Guangdong Medical College, Shenzhen 518052, China

Received:2010-06-03 Published:2011-01-24

摘要/Abstract

摘要：

目的　以第2跖趾关节的解剖学特点为基础，探讨改良的第2跖趾关节复合组织游离移植修复手部掌指关节复合组织缺损的方法及临床疗效。方法　根据掌指关节的缺损情况，采用改良的第2跖趾全关节复合组织移植7例、第2跖趾半关节复合组织移植5例修复手部创伤后掌指关节的复合组织缺损。结果　12例全部成活。术后随访6个月~3年，掌指关节的功能恢复较满意，X片显示：骨折愈合良好，未见关节退行性改变。第2跖趾的半关节移植组功能恢复优于全关节移植组。结论改良的第2跖关节复合组织移植是修复掌指关节复合组织缺损较有效的方法。

关键词: 跖趾关节, 复合组织移植, 掌指关节, 显微修复重建

Abstract:

Objective　Basing on anatomic characteristics of the second metatarsophalangeal joint, we studied the method and clinical effects of reconstructing composite tissue defects in the metacarpophalangeal joint by transplantation of modified composite tissue in the second metatarsophalangeal joint.　Methods　　According to the defects of the metacarpophalangeal joint , modified composite tissue in the second metatarsophalangeal joint transplantation was conducted to reconstruct metacarpophalangeal joint: total metatarsophalangeal joint transplantation in 7 cases, semi-joint transplantation in 5 cases.　Results　All reconstructed metacarsophalangeal joints survived in 12 cases. With follow-ups for 6~36 months, all cases have no joint degeneration in X-ray manifestation and the restoration of joint function is satisfying; the function of cases with metatarsophalangeal semi-joint transplantation was better than those in total joint transplantation.. Conclusions　It is an effective method to reconstruct composite tissue defects in the metacarpophalangeal joint by transplantation of composite tissue in the second metatarsophalangeal joint.

Key words: Metatarsophalangeal joint, Composite tissue , transplantation, Metacarpophalangeal joint, Micro- reconstruction

中图分类号:

R616.2

杨　涛, 王　利, 陈传煌, 宫云霞, 李文庆, 朱小弟. 改良第2跖趾关节复合组织移植重建掌指关节的解剖基础及临床应用[J]. 中国临床解剖学杂志, 2011, 29(1): 105-108.

YANG 　Tao, WANG 　Li, CHEN Chuan-Huang, GONG Yun-Xia, LI Wen-Qing, ZHU Xiao-Di. Anatomy and clinical application of transplanting modified the second metatarsophalangeal joint for metacarpophalangeal joint reconstruction[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(1): 105-108.

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