Soucacos P N, Beris A E, Touliatos A S, Anastasiou E D
Department of Orthopaedic Surgery, University of Ioannina Medical School, Greece.
Clin Orthop Relat Res. 1989 Sep(246):65-9.
Replantation of complete or incomplete nonviable amputations of digits, hands, and major limbs along with a number of reconstructive microsurgical procedures reflect the work that has been done in the field of orthopedic microsurgery in Greece during the last ten years. The history of trauma microsurgery in Greece starts in the mid-1970s, when the first attempts were directed toward patients with complete or incomplete nonviable amputations of digits and hands. Few cases of major limb replantations without the aid of an operating microscope or other means of magnification have been reported for the years 1965-1975. The first successful digital replantation was performed in 1979 on a female patient with multiple digit amputations; only the little finger was successfully replanted. More than 310 replantations and revascularization procedures have been performed during the past decade, mainly in two major replantation centers, with an overall success rate of 85% for complete and 90% for incomplete nonviable amputations. Reconstructive microsurgical procedures are mainly related to free skin flaps, vascularized bone grafts, toe-to-thumb transfer, and peripheral nerve microsurgery.
手指、手部和主要肢体完全或不完全无活力断肢再植以及一些重建显微外科手术反映了希腊在过去十年中骨科显微外科领域所开展的工作。希腊创伤显微外科的历史始于20世纪70年代中期，当时首次尝试针对手指和手部完全或不完全无活力断肢的患者。1965年至1975年间，有报道称少数几例在未借助手术显微镜或其他放大手段的情况下进行的主要肢体再植病例。1979年，为一名多指离断的女性患者成功进行了首例手指再植手术；仅小指成功再植。在过去十年中，主要在两个主要的再植中心进行了310多次再植和血管重建手术，完全无活力断肢的总体成功率为85%，不完全无活力断肢的成功率为90%。重建显微外科手术主要涉及游离皮瓣、带血管蒂骨移植、拇指再造和周围神经显微外科手术。
