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采用桡动脉掌浅支进行拇指再植术。

Thumb Replantation Using the Superficial Palmar Branch of the Radial Artery.

作者信息

Cho Sang Hyun, Bahar-Moni Ahmed Suparno, Park Hyun Chul

机构信息

Institute of Micro and Hand Surgery, Duson Hospital, Gyeonggi-do, Korea.

Department of Orthopedic Surgery, Bangladesh Institute of Health Sciences General Hospital, Dhaka, Bangladesh.

出版信息

J Hand Microsurg. 2016 Aug;8(2):106-8. doi: 10.1055/s-0036-1585058. Epub 2016 Jul 1.

Abstract

The thumb is the most important part of the hand. If thumb is amputated, all efforts should be made to replant it to preserve hand functions. Good functional outcome can be obtained with successful thumb replantation than with other reconstructive surgery. We present a case of thumb amputation of a 44 -year-old male with severe damage to the soft tissues and bony structures of the radial part of the hand. We performed the replantation anastomosing the superficial palmar branch of the radial artery as donor artery as the proximal part of thumb digital arteries were severely damaged due to crush injury and got favorable result.

摘要

拇指是手部最重要的部分。如果拇指被截断,应尽一切努力进行再植以保留手部功能。与其他重建手术相比,成功的拇指再植能获得更好的功能结果。我们报告一例44岁男性拇指离断病例,其手部桡侧软组织和骨结构严重受损。由于挤压伤,拇指指动脉近端严重受损,我们以桡动脉掌浅支作为供体动脉进行吻合再植,取得了良好效果。

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