OSTEOCHONDRAL METATARSOPHALANGEAL AUTOGRAFTS FOR TRAUMATIC ARTICULAR METACARPOPHALANGEAL DEFECTS A PRELIMINARY-REPORT

被引：29

作者：

BOULAS, HJ

HERREN, A

BUCHLER, U

机构：

[1] Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX

[2] Klinik für Plastische und Wiederherstellende Chirurgie, Kantonsspital, Aarau

[3] Hand Section, Inselspital, Bern

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 06期

关键词：

D O I：

10.1016/0363-5023(93)90407-T

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Five consecutive patients with saw injuries to the dorsal portion of the index metacarpophalangeal joint and resultant partial osteochondral defects underwent articular reconstruction using contoured metatarsophalangeal osteochondral autografts. At an average follow-up period of 33 months, all patients achieved full metacarpophalangeal extension, with 74 degrees of flexion and grip strength equal to 86% of the contralateral hand. Discomfort was minimal, with crepitus present in one patient. X-ray films revealed joint space narrowing or articular step-off of 1 mm or less.

引用

页码：1086 / 1092

页数：7

共 31 条

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