Dautel G, Barbary S
Hand Surgery Department, Nancy Medical School, Hôpital Jeanne d'Arc, 54201 Dommartin les Toul, France.
J Plast Reconstr Aesthet Surg. 2007;60(7):811-5. doi: 10.1016/j.bjps.2007.02.020. Epub 2007 May 23.
Amputations through the distal interphalangeal joint or distal to this joint are frequent and they represent probably one of the best indications for replantation. Details on the vascular anatomy of the fingertip have to be perfectly known by the surgeon who will have to deal with these replantations. Factors such as age, mechanism of amputation and type of anastomosis will influence the overall success rate of the procedure. Return of a true static two points discrimination can be observed in children even in the absence of any neural repair.
经远侧指间关节或该关节远侧的截肢很常见，可能是再植的最佳指征之一。处理这些再植手术的外科医生必须熟知指尖的血管解剖细节。年龄、截肢机制和吻合类型等因素会影响手术的总体成功率。即使没有进行任何神经修复，儿童也能观察到真正的静态两点辨别觉恢复。
