Lim B H, Tan B K, Peng Y P
Departments of Orthopaedic Surgery, Hand and Reconstructive Microsurgery, National University Hospital of Singapore, Singapore.
Hand Clin. 2001 Aug;17(3):419-31, viii-ix.
To reduce ischemic time and yet achieve a high-quality repair, the replantation team should be well organized. The team should be conversant with microvascular techniques and employ efficient methods of tendon repair and bone fixation. Developments in instrumentation and technique in recent years have improved success rates and consequently enlarged the indications for replantation surgery. Nevertheless, the economics of care and long-term functional outcome should not be overlooked, and these issues remain unresolved in the replantation versus terminalization question. The authors address topics relevant to replantation, including techniques and complications of digital replantation, ring avulsion injuries, and distal replantation.
为了减少缺血时间并实现高质量修复，再植团队应组织良好。该团队应精通微血管技术，并采用高效的肌腱修复和骨固定方法。近年来，器械和技术的发展提高了成功率，从而扩大了再植手术的适应症。然而，护理的经济性和长期功能结果不应被忽视，在再植与截肢的问题上，这些问题仍未得到解决。作者讨论了与再植相关的主题，包括手指再植的技术和并发症、环形撕脱伤以及远端再植。
