Koshima I, Soeda S, Moriguchi T, Higaki H, Miyakawa S, Yamasaki M
Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Tsukuba University, Okayama, Japan.
Plast Reconstr Surg. 1992 Apr;89(4):710-4. doi: 10.1097/00006534-199204000-00021.
Microvascular replantation at the distal phalangeal level has recently been reported by several authors, but as yet the rate of success has not been constant owing to the technical difficulties associated with small vessels. To solve this problem, over the last 4 years we have used arteriovenous anastomosis to reestablish either the arterial system or the venous drainage system in the 33 digits of our 23 patients. The results have been excellent, with a 91 percent success rate. Such results for replantation of the distal phalanx may be maintained and improved if a small venous graft with several branches is also utilized.
近期有多位作者报道了指骨远端水平的微血管再植，但由于小血管相关的技术难题，目前成功率仍不稳定。为解决这一问题，在过去4年里，我们对23例患者的33个手指采用动静脉吻合术重建动脉系统或静脉引流系统。结果非常理想，成功率达91%。如果同时使用带有多个分支的小静脉移植物，指骨远端再植的这种效果可能会得以维持并进一步提高。
