Fukui A, Maeda M, Inada Y, Tamai S, Sempuku T
Department of Orthopedic Surgery, Omiwa Hospital, Nara, Japan.
J Hand Surg Am. 1990 Jan;15(1):160-5. doi: 10.1016/s0363-5023(09)91125-x.
From May 1958 to May 1987, 331 digits were replanted successfully with an overall survival rate of 86.2%. Complete success in replantation of amputated fingers requires an accurate anastomoses of both arteries and veins. However, anastomosis between arteries may not be possible in some patients. Since reports that a thumb amputated at the interphalangeal joint area could be successfully replanted by an arteriovenous shunt on the palmar side, we did arteriovenous shunts in four such cases. Two replantations were successful; necrosis developed in the other two patients.
1958年5月至1987年5月，共成功再植331个手指，总成活率为86.2%。手指离断再植完全成功需要精确吻合动静脉。然而，部分患者可能无法进行动脉吻合。自从有报道称在掌侧行动静脉分流可成功再植指间关节区离断的拇指以来，我们对4例此类患者进行了动静脉分流术。2例再植成功，另外2例出现坏死。
