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Radiology, Vol 152, 591-594, Copyright © 1984 by Radiological Society of North America

ARTICLES

Replantation of digits or hands followed by destructive joint disease

J Guerra Jr, D Resnick, RH Gelberman, R Reznek and RO Cone 3d

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.




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