数字化与手部再植的效率。
Efficiency in Digital and Hand Replantation.
机构信息
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan.
Section of Plastic Surgery, Department of Surgery, The University of Michigan Health System, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA.
出版信息
Clin Plast Surg. 2019 Jul;46(3):359-370. doi: 10.1016/j.cps.2019.03.002. Epub 2019 Apr 16.
The literature on surgical techniques and recent evidence in microsurgical digital and hand replantation is reviewed. Replantation should not be done routinely without considering postoperative functional outcomes. Achieving best outcomes is related to the success of microvascular anastomosis and to adequacy of bone fixation, tendon and nerve repair, and soft-tissue coverage. Replantation surgery has become a routine procedure. However, little is known about the decision-making process for digital and hand amputation. A study comparing the outcomes of digital and hand amputations treated with replantation or revision amputation is needed. Outcome assessment includes not only function but also patient-reported outcomes.
本文回顾了外科技术文献和最近有关显微手数字和手部再植的证据。如果不考虑术后功能结果，就不应该常规进行再植。实现最佳结果与微血管吻合的成功以及骨固定、肌腱和神经修复以及软组织覆盖的充分性有关。再植手术已成为常规手术。然而，对于手指和手部截肢的决策过程知之甚少。需要进行一项研究比较再植或 Revision 截肢治疗的手指和手部截肢的结果。结果评估不仅包括功能，还包括患者报告的结果。
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