Foucher G, Norris R W
SOS Main Strasbourg, France.
Br J Plast Surg. 1992 Apr;45(3):199-203. doi: 10.1016/0007-1226(92)90076-a.
Ninety-five patients with 98 complete or incomplete amputations of digits are reviewed. Three levels are considered according to the bony lesion, zone III being distal to the nail matrix. In this area, artery, nerve and vein repair need special techniques. The use of leeches in the absence of vein repair does not preclude an acceptable survival rate (68%), compared to the overall series (65.5%); however, smoking is detrimental (52%). Distal replantation is a fast and worthwhile procedure providing acceptable sensibility, no PIP limitation and good appearance at the price of a mean 74 days off work.
回顾了95例有98处手指完全或不完全离断的患者。根据骨损伤情况分为三个级别，Ⅲ区位于甲床远端。在该区域，动脉、神经和静脉修复需要特殊技术。在未进行静脉修复的情况下使用水蛭并不影响可接受的存活率（68%），与总体系列（65.5%）相比；然而，吸烟是有害的（52%）。远端再植是一种快速且值得的手术，能提供可接受的感觉功能、不影响近端指间关节活动且外形良好，代价是平均误工74天。
