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題 名 | Revisiting the Vascular Anatomy of the Metatarsophalangeal Joint Transfer=掌指間關節移植血管解剖構造之分布與文獻回顧 |
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作 者 | 陳信宏; 黃健輝; 林有德; 林志鴻; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 23:4 2014.12[民103.12] |
頁 次 | 頁306-311 |
分類號 | 416.615 |
關鍵詞 | 掌指關節; 關節移植; 血管解剖; Metatarsophalangeal joint; Vascularized joint transfer; |
語 文 | 英文(English) |
中文摘要 | 背景:在使用腳趾蹠趾關節來重建手指掌指關節的手術當中,常會利用不同的手術技巧來克服關節之間彼此活動度差異的問題,一但因為對於腳趾蹠趾關節部位主要供支血管解剖位置的不確定性,往往會造成移植重建的結果不理想。目的及目標:本研究的目的在於提供一個對於腳趾蹠趾關節轉移時,安全且穩定度高的供支血管,以提高手術的成功率。材料及方法:本研究利用四具大體,在顯微解剖游離血管的過程中,詳細觀腳趾蹠趾關節的主要供支血管來源。結果:在過去三十年的文獻回顧中,發現了許多不同關於供支血管解剖描述,但大多都位於關節附近的5mm之內。而在我們的大體解剖部分,則沒有發現明顯來自於足背側系統的關節分枝,反而是來自足底系統的關節分枝,血管內徑大且在每隻腳的固定位置都很容易被發現。結論:來自足底血液供應系統的關節分枝易於在手術中被發現,且血管內徑大,應為穩定性高的腳趾掌關節血液供應枝。另藉由45度斜切蹠骨頭的手術方式可能傷害到主要的血液供應枝,手術時必須特別注意這供支。 |
英文摘要 | Background: There are a number of elements requiring refinement in metatarsopharangeal (MTP) joint transfer, which include correcting extension lag without jeopardizing vascularity to the joint. When transferring the MTP joint to reconstruct metacarpophalangeal (MCP) joint, methods such as a rotational osteotomy of the metatarsal head and turn-over inset of the MTP joint can be used, and as such there is a risk of vascular damage if the anatomy is not properly defined. Therefore, the vascular anatomy of the MTP joint should be clarified for a safe transfer. Aim and Objectives: This study aimed to clarify the vascular anatomic basis for the MTP joint transfer and identify to critically interrogate the inconsistencies in the current literature. Materials and Methods: Detailed anatomical dissections of the vessels around the 2^(nd) MTP joint were performed in eight feet of four fresh cadavers. Results: The branches from the dorsal artery system were less than 1mm in diameter in two feet and unrecognizable in the other six feet. Sizable articular branches originating from the plantar metatarsal or plantar digital artery were consistently identified. Conclusion: The articular branch from the plantar artery system is constant and of reasonable caliber to identify by microsurgery. There is a distinct risk of damage to the condyle and articular branches whilst performing a rotational osteotomy if they are not carefully identified and preserved. |
本系統中英文摘要資訊取自各篇刊載內容。