Hahn Hyun Oun, Jung Sung Gyun
Hahn Oun Hand Clinic, ShinDaeBang-dong, Seoul 156-852, Korea.
J Reconstr Microsurg. 2006 Aug;22(6):407-13. doi: 10.1055/s-2006-947694.
Over a 15-year period (August, 1988 to May 2003), the authors have carried out 510 replantations of amputated fingertips distal to the nail base (zone I) in 450 patients, with a high overall survival rate (92 percent), using combinations of arterial and venous anastomoses without any alternative methods such as "pocketing." Replantations that anastomosed only one artery (25 digits) had a success rate of 68 percent, one artery and one vein (115 digits) had a success rate of 82 percent, one artery and two veins (240 digits) had a success rate of 95 percent and more than two artery and vein anastomoses (130 digits), had a success rate of 99 percent. The follow-up period ranged from 3 months to 14 years and 432 patients were followed-up more than 6 months. In these latter patients, the average two-point discrimination was 7 mm.
在15年期间（1988年8月至2003年5月），作者对450例患者的510个甲床远端（I区）离断指尖进行了再植，采用动脉和静脉吻合联合的方法，未使用“袋状化”等其他替代方法，总体成活率较高（92%）。仅吻合一条动脉的再植（25指）成功率为68%，一条动脉和一条静脉（115指）成功率为82%，一条动脉和两条静脉（240指）成功率为95%，两条以上动脉和静脉吻合（130指）成功率为99%。随访时间为3个月至14年，432例患者随访超过6个月。在这些后期患者中，平均两点辨别觉为7毫米。
