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[将离断手移植至对侧手掌:一例报告]

[Transpalmar transplantation of a severed hand to the opposite side: a case report].

作者信息

Zhang Y L

机构信息

Beijing Jishuitan Hospital.

出版信息

Zhonghua Wai Ke Za Zhi. 1990 Aug;28(8):462-3, 509.

PMID:2086107
Abstract

A man of 20 got both his upper limbs badly injured by an accident on May 28, 1989. Crush of all the 4 fingers of right hand, traumatic amputation through the left arm with severe damage of soft tissue and burst fracture of bones around left elbow. And so, the chance of providing him a useful hand could only be transpalmar transplantation of the undamaged left hand to the opposite side. This was done urgently to reconstruct a new hand, a hand with its fingers in a reversed order. The wound healed up nicely, the transplanted fore-hand was well taken and the new hand functions satisfactorily, though the natural little finger of left hand takes the place of and works as index one, and the original ring finger of left hand seats the position in and acts as long one; and so on. The details of operative procedure are described and the importance of rehabilitation training is particularly emphasized.

摘要

一名20岁男子于1989年5月28日因意外事故导致双上肢严重受伤。右手4指挤压伤,左上肢外伤性离断,伴有严重软组织损伤及左肘部周围骨折爆裂。因此,为他提供一只有用手的唯一机会只能是将未受损的左手进行掌面移植至对侧。紧急进行了该手术以重建一只新手,一只手指顺序相反的手。伤口愈合良好,移植的前手存活良好,新手功能令人满意,尽管左手原本的小指取代并充当食指,左手原本的无名指占据并充当中指;依此类推。文中描述了手术过程的细节,并特别强调了康复训练的重要性。

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