Russell Robert C, Neumeister Michael W, Ostric Srdjan Andrei, Engineer Nitin J
Department of Surgery, Southern Illinois University School of Medicine, 320 East Carpenter Street, Suite 1A, Springfield, IL 62702, USA.
Clin Plast Surg. 2007 Apr;34(2):211-22, viii. doi: 10.1016/j.cps.2006.12.003.
After a severe digital or extremity injury, the replantation surgeon should always seek to make the best use out of what tissue is available for reconstruction. Exercising sound surgical judgment and being creative allow the surgeon to restore function to critical areas of the hand or extremity by the judicious use of available tissues that would otherwise be discarded. The use of "spare parts" should, therefore, always be considered to facilitate digital or extremity reconstruction when routine replantation is not possible or is likely to produce a poor functional result. The surgeon should always try to use available nonreplantable tissue to preserve length, obtain soft tissue coverage, or most importantly improve the function of remaining less injured digits. This article presents several case studies that illustrate the principals of spare parts reconstruction performed at the time of the initial debridement using nonreplantable tissue to provide coverage or improve function.
在发生严重的手指或肢体损伤后，再植外科医生应始终力求充分利用可用于重建的组织。运用合理的外科判断并发挥创造力，可使外科医生通过明智地使用原本会被丢弃的可用组织，恢复手部或肢体关键部位的功能。因此，当常规再植不可能或可能产生不良功能结果时，应始终考虑使用“备用组织”来促进手指或肢体重建。外科医生应始终尝试使用可用的不可再植组织来保留长度、获得软组织覆盖，或最重要的是改善其余损伤较轻手指的功能。本文介绍了几个案例研究，阐述了在初次清创时使用不可再植组织进行备用组织重建以提供覆盖或改善功能的原则。
