Sakamoto Akio, Yoshida Tatsuya, Matsumoto Yoshihiro, Kozuma Masakazu, Iwamoto Yukihide
Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
J Hand Surg Eur Vol. 2011 Oct;36(8):677-81. doi: 10.1177/1753193411409839. Epub 2011 May 19.
Three cases of fingertip amputation at the level between the distal phalanx and the nail base in children below 2 years of age were treated by replantation or revascularization. The injury was complete in two, and incomplete in one. All three fingerstips survived with artery anastomosis without the need for a blood transfusion. In two venous anastomosis failed and venous drainage was achieved by 3-hourly pinprick. Survival of an amputated finger can be expected in cases where venous reconstruction is not possible, provided that there is adequate venous drainage.
对3例2岁以下儿童在远节指骨与甲床之间水平的指尖离断伤进行了再植或血管再通治疗。其中2例损伤为完全离断，1例为不完全离断。所有3个指尖通过动脉吻合均存活，无需输血。2例静脉吻合失败，通过每3小时针刺实现静脉引流。如果有足够的静脉引流，在无法进行静脉重建的情况下，断指有望存活。
