Medling Bradley D, Bueno Reuben A, Russell Robert C, Neumeister Michael W
Division of Plastic Surgery, Southern Illinois University School of Medicine, P.O. Box 19653, Springfield, IL 62794-9653, USA.
Clin Plast Surg. 2007 Apr;34(2):177-85, vii-viii. doi: 10.1016/j.cps.2006.11.003.
Replantation aims to restore the amputated part to its anatomical site, preserving function and appearance. Outcome depends on factors intrinsic to the patient and to the nature of the injury. Young patients who have distal, cleanly amputated extremities have the best return of function; multiple levels of injury, crush, or avulsing injuries have less. Patients must be fully informed about the commitment to rehabilitation and the possibility of multiple surgeries needed for best results. Similarly, patient and surgeon expectations should be evaluated and addressed before replantation. Meticulous microsurgical technique, comprehensive occupational therapy, and perseverance are needed for success. Addressing these issues promotes a team rehabilitation to restore function while getting the amputation patient back to productive position in society.
再植旨在将离断的部分恢复到其解剖位置，保留功能和外观。结果取决于患者自身因素和损伤的性质。远端肢体被干净利落地切断的年轻患者功能恢复最佳；多处损伤、挤压伤或撕脱伤的恢复情况则较差。必须让患者充分了解康复所需的投入以及为获得最佳效果可能需要进行多次手术的情况。同样，在进行再植手术之前，应评估并处理患者和外科医生的期望。成功需要精湛的显微外科技术、全面的职业治疗和毅力。解决这些问题有助于促进团队康复，以恢复功能，同时让截肢患者重新回归社会，发挥作用。
