Freie mikrovaskuläre Transplantation des proximalen Interphalangealgelenkes zur primären Rekonstruktion des Grundgelenkes
H. Fansa, O. Frerichs, W. Schneider · Handchirurgie · Mikrochirurgie · Plastische Chirurgie · 2002 · Heft 03 · S. 205-208
Bibliografische Angaben
Zusammenfassung
Abstract Destruction of finger joints due to trauma often results in decreased range of motion. In particular, destroyed metacarpophalangeal (MCP) joints impair hand function, thus necessitating amputation of the respective finger. Secondary total joint replacement remains limited to special cases. Vascularized joint transplantation (homodigital, heterodigital, or joints of the second toe) is superior to non-vascularized transplantation. We report on a 39-year-old heating engineer who sustained an amputation of the index finger and destruction of the MCP joint of the middle finger due to a chain saw. As replanta…