D'Addato M, Pedrini L, Bertoni M, Stella A, Vitacchiano G, Sardella L, Ciuccarelli C, Maggi G, Poppi M
Department of Vascular Surgery, University of Bologna, Italy.
J Trauma. 1989 Jun;29(6):876-9. doi: 10.1097/00005373-198906000-00029.
From 1970 to 1985, 13 patients were treated as a result of an upper limb traumatic sub-amputation. Three of them were younger than 15 years and another one was only 3 years old at the time of the trauma. All the elements involved in the treatment of the lesions are described. When it was possible, an end-to-end anastomosis was used for the repair of arteries and veins. Otherwise, when the loss of tissue was marked, a saphenous vein graft was used. The fracture was treated, when possible, with an intramedullary fixation, surely less traumatizing for soft tissues than a plate. The repair of the nerve was at times simultaneous at other times delayed. The followup has shown a good functional restoration of the limb and of the joints affected by the trauma and a normal development of the patients in terms of age.
1970年至1985年期间，有13名患者因上肢创伤性次全截肢接受治疗。其中3名患者年龄小于15岁，另1名患者在受伤时年仅3岁。文中描述了治疗这些损伤所涉及的所有要素。在可能的情况下，动脉和静脉修复采用端端吻合术。否则，当组织缺损明显时，则采用大隐静脉移植。骨折在可能的情况下采用髓内固定治疗，这种方法对软组织的创伤肯定小于钢板固定。神经修复有时是同期进行，有时则延迟进行。随访结果显示，受伤肢体和关节功能恢复良好，患者在年龄方面发育正常。
