Taghinia Amir H
Department of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Enders 1, Boston, MA 02115, USA.
Hand Clin. 2019 May;35(2):155-178. doi: 10.1016/j.hcl.2018.12.006. Epub 2019 Feb 18.
Replantation and revascularization in the pediatric extremity has unique challenges that provide a fertile field of research and clinical experience. Children regenerate peripheral nerves rapidly, resulting in good sensory and motor function. They adapt well to functional deficits and mismatch errors of reinnervation. The technical aspects of microsurgical care in children can be challenging because the structures are small. Additional technical challenges include preservation of growth centers, prevention of vasospasm, protection of the reconstruction, and psychosocial care. Despite these challenges, children show excellent functional outcomes with minimal complications.
小儿肢体再植与血管重建面临着独特的挑战，这为研究和临床经验提供了丰富的领域。儿童外周神经再生迅速，可带来良好的感觉和运动功能。他们能很好地适应功能缺陷和神经再支配的错配误差。由于结构较小，小儿显微外科护理的技术层面颇具挑战性。其他技术挑战还包括生长中心的保留、血管痉挛的预防、重建的保护以及心理社会护理。尽管存在这些挑战，但儿童的功能预后极佳，并发症极少。
