Wang Huan
Division of Plastic Surgery, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA.
Microsurgery. 2002;22(2):57-61. doi: 10.1002/micr.21725.
This article discusses the incidence and sequence of secondary procedures following digital replantation. In published series addressing this topic, the overall frequency of postreplantation surgery ranged from 2.9-93.2%. Tendon procedures accounted for 47.2% of cases, and comprised the leading type of secondary operations. Tendon procedures were followed by joint procedures (18.9%), skeletal stabilization (12%), skin coverage (11.4%), nerve reconstruction (8.9%), and late amputation (1.6%). The number of secondary procedures per patient averaged from 1-4.5, depending on prioritization of different procedures. The order of restoration procedures should be as follows: supple skin coverage, skeletal stability, and protective and proprioceptive sensation. Joint reconstruction follows these procedures, which in turn is followed by tendon reconstruction.
本文讨论了断指再植后继发性手术的发生率及顺序。在已发表的关于该主题的系列研究中，再植术后手术的总体发生率在2.9%至93.2%之间。肌腱手术占病例的47.2%，是继发性手术的主要类型。其次是关节手术（18.9%）、骨骼固定（12%）、皮肤覆盖（11.4%）、神经重建（8.9%）和晚期截肢（1.6%）。每位患者的继发性手术数量平均为1至4.5次，这取决于不同手术的优先级。修复手术的顺序应如下：柔软的皮肤覆盖、骨骼稳定以及保护性和本体感觉。关节重建在这些手术之后进行，随后是肌腱重建。
