Lundkvist L, Ipsen T, Barfred T, Pless J
Ugeskr Laeger. 1989 Apr 17;151(16):981-4.
Twenty-five patients who were submitted to replantation or revascularization of a total of 11 upper arms, 11 forearms, one wrist and three feet were followed-up with the object of assessing the functional status. 85% of the replantated/revascularized parts survived. The follow-up examination included assessment of the level of amputation, mechanism of the injury, duration of ischaemia and the age of the patient in relation to the joint mobility achieved, strength, sensibility, cosmetic inconveniences and the return to previous employment. Out of 19 surviving upper limbs and three feet, the results were classified as excellent and good after Tamai's and Chen's methods. The best results were found after sharp lesions but the investigation revealed that even in severe avulsion lesions, it proved possible to obtain good results. It is thus not possible to establish definite directives for the indications for replantation. The final decision concerning reconstruction cannot be made until after contact with one of the departments in which replantation can be undertaken.
对25例患者进行了随访，这些患者共接受了11例上臂、11例前臂、1例腕部和3例足部的再植或血管重建手术，目的是评估其功能状态。85%的再植/血管重建部位存活。随访检查包括评估截肢水平、损伤机制、缺血持续时间以及患者年龄与所达到的关节活动度、力量、感觉、外观不便和恢复以前工作情况的关系。在19条存活的上肢和3只足部中，根据玉井和陈的方法，结果被评为优秀和良好。锐器伤后结果最佳，但调查显示，即使在严重的撕脱伤中，也有可能获得良好的结果。因此，无法为再植适应症制定明确的指导原则。在与可以进行再植的科室之一联系之前，无法做出关于重建的最终决定。
