Axelrod T S, Buchler U
Division of Hand Surgery, University of Bern, Inselspital, Switzerland.
J Hand Surg Am. 1991 Jul;16(4):574-84. doi: 10.1016/0363-5023(91)90176-c.
Twenty-nine patients with an incomplete (26) or a complete (3) amputation of the upper extremity proximal to the wrist with revascularization or replantation were reviewed. Limb survival rates were very high (93%) despite the severity of the injuries. All patients regained some useful hand function, with 76% attaining a group I or group II (Chen criteria) functional result. Bone shortening osteotomies are a helpful way to reduce the soft tissue defect size. In contrast to earlier studies, clear correlations between the level of injury, degree of nerve lesion, bone pathology, and the number of major nerves involved, and the functional outcome achieved were not found. There was a weak correlation between the type of wound and the functional recovery ultimately obtained.
对29例腕关节近端上肢不完全（26例）或完全（3例）离断且进行了血管再通或再植的患者进行了回顾性研究。尽管损伤严重，但肢体存活率非常高（93%）。所有患者均恢复了一定的手部有用功能，76%的患者获得了Ⅰ组或Ⅱ组（陈标准）功能结果。骨缩短截骨术是减少软组织缺损大小的一种有效方法。与早期研究不同的是，未发现损伤平面、神经损伤程度、骨病理情况、受累主要神经数量与所取得的功能结果之间存在明确的相关性。伤口类型与最终获得的功能恢复之间存在微弱的相关性。
