Daigle J P, Kleinert J M
Christine M. Kleinert Institute for Hand and Micro Surgery, Louisville, KY 40202.
Microsurgery. 1991;12(3):221-31. doi: 10.1002/micr.1920120312.
This retrospective study evaluated patients under 18 years of age who underwent major limb replantation between 1976 and 1989 at Louisville Hand Surgery. The age of the 15 patients followed for between 1 and 8.5 years (mean 4.2 years) ranged from 2 to 17 years (mean 9.8). Of amputations, 40% were guillotine, 40% were limited crush-avulsions, 7% were extended crushing, and eight were of an upper extremity and seven of a lower extremity. Average warm/total ischemia times were 4.8/14.8 hr in failures and 1.1/7.5 hours in successful replantation. Overall limb survival was 87%. Among the patients, 93% felt that their replanted limb functioned and looked better than a prosthesis; 87% of patients had a sensory recovery of more than S2+ in the lower extremity or S3 in the upper extremity; and 38% of upper extremity replantation patients had two-point discrimination of less than 15 mm.
这项回顾性研究评估了1976年至1989年间在路易斯维尔手外科接受主要肢体再植手术的18岁以下患者。15名患者的随访时间为1至8.5年（平均4.2年），年龄在2至17岁之间（平均9.8岁）。在截肢病例中，40%为切割伤，40%为局限性挤压撕脱伤，7%为广泛性挤压伤，上肢截肢8例，下肢截肢7例。失败病例的平均热缺血/总缺血时间为4.8/14.8小时，成功再植病例为1.1/7.5小时。肢体总体存活率为87%。在患者中，93%的人认为他们再植的肢体功能和外观比假肢更好；87%的患者下肢感觉恢复超过S2+或上肢感觉恢复超过S3；38%的上肢再植患者两点辨别觉小于15毫米。
