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Reconstruction of Metacarpophalangeal Joint by Free Vascularized Autogenous Metatarsophalangeal Joint Transplant

  • En-Tan Guo
  • Zheng-Lun Ji
  • Ming-Li Zhang
  • Yue-Zhen Zhao

Abstract

The metacarpophalangeal (MP) joint is essential to hand function, which will suffer severe deterioration in the event of traumatic or arthritic stiffening. Early this century, a stiffened MP joint was replaced by autograft of a small joint which was subjected to degenerative changes within 1–2 years. Since Buncke’sl second to third MP joint transplantation on an intact vascular pedicle was proved to be successful without any late degenerative changes in long term observation in 1967, experimental small joint transplantation was undertaken independently by Bunckel and Hurwitz2, with the same conclusion: long term survival of the vascular graft without any degeneration and severe degenerative alteration in nonvascular transplant.

Keywords

Saphenous Vein Proximal Phalanx Metacarpophalangeal Joint Left Thumb Articular Branch 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Buncke, H.J. et al (1967). The fate of autogenous whole joint transplanted by microvascular anastomoses. Plast. Reconstr. Surg., 39, 333.Google Scholar
  2. 2.
    Hurwitz, P. J. (1979). Experimental transplantation of small joints; by microvascular anastomoses. Plast. Reconstr. Surg., 64, 221.PubMedCrossRefGoogle Scholar
  3. 3.
    Guo En-tan et al. (1980). Free vascularized small joint transplant, preliminary report of the second metatarsophalangeal joint transfer for the reconstruction of damaged metacarpophalangeal joint. Acad., T. Second Military Med. Coll.1(2), 12 (In Chinese).Google Scholar

Copyright information

© MTP Press Limited 1985

Authors and Affiliations

  • En-Tan Guo
    • 1
  • Zheng-Lun Ji
    • 1
  • Ming-Li Zhang
    • 1
  • Yue-Zhen Zhao
    • 1
  1. 1.Department of Plastic Surgery, Changhai HospitalThe Second Military Medical CollegeShanghaiChina

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