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断指再植的长期回顾

A long-term review of digital replantation.

作者信息

Morrison W A, O'Brien B M, MacLeod A M

出版信息

Aust N Z J Surg. 1977 Dec;47(6):767-73. doi: 10.1111/j.1445-2197.1977.tb06620.x.

DOI:10.1111/j.1445-2197.1977.tb06620.x
PMID:274121
Abstract

An analysis of the first 130 cases of digital revascularization and replantation performed at St Vincent's Hospital, Melbourne, during the period 1970-1977, confirms the long-term functional value of these procedures provided that strict indications for replantation are adhered to. Patient satisfaction has been almost universal, and objective testing shows that the most satisfying aspect of the procedure is the quality of sensory return. Flexor tendon function and the range of joint movement, however, are universally poor, and all patients complain of sensitivity to cold. The thumb has been by far the most satisfactory digit to replant, and avulsion injuries gave the poorest results, from the point of view of both survival and long-term function.

摘要

对1970年至1977年期间在墨尔本圣文森特医院进行的首批130例手指血管重建与再植病例的分析证实,只要严格遵守再植的适应症,这些手术具有长期功能价值。患者满意度几乎是普遍的,客观测试表明,该手术最令人满意的方面是感觉恢复的质量。然而,屈肌腱功能和关节活动范围普遍较差,所有患者都抱怨对寒冷敏感。到目前为止,拇指是最适合再植的手指,从存活和长期功能的角度来看,撕脱伤的结果最差。

相似文献

1
A long-term review of digital replantation.断指再植的长期回顾
Aust N Z J Surg. 1977 Dec;47(6):767-73. doi: 10.1111/j.1445-2197.1977.tb06620.x.
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Replantation and revascularization of digits.手指再植与血管重建
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引用本文的文献

1
Etiology and Survival of Secondary Revascularizations after Hand and Digit Replantations.手部及手指再植术后二次血管重建的病因及存活率
J Hand Microsurg. 2020 Aug;12(2):111-115. doi: 10.1055/s-0039-3400442. Epub 2020 Jan 16.
2
Progress in free tissue transfer.游离组织移植的进展。
World J Surg. 1990 Nov-Dec;14(6):786-95. doi: 10.1007/BF01670525.