Replantation of digits or hands followed by destructive joint disease.
The clinical records and radiographs of 45 patients who had undergone replantation of a total hand, or a part thereof, were reviewed in order to determine the prevalence and the type of articular changes occurring distal to the site of anastomoses. In three patients, destructive joint changes were observed, consisting of bony fragmentation, spiculation, and cystic or erosive lesions. These changes, which developed between five and ten months after replantation, are most likely neuropathic or osteonecrotic in pathogenesis.
D000328:Adult; D005383:Finger Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D005384:Finger Joint / Q000000981:diagnostic imaging; D005385:Fingers / Q000000981:diagnostic imaging / Q000601:surgery*; D006225:Hand / Q000000981:diagnostic imaging / Q000601:surgery*; D006230:Hand Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011859:Radiography; D012092:Replantation