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

Abstract

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

CLC Number:

R616.2

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

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