Zuker R M, Stevenson J H
Hospital for Sick Children, Department of Surgery, University of Toronto, Ontario, Canada.
J Trauma. 1988 Apr;28(4):544-7. doi: 10.1097/00005373-198804000-00024.
Proximal upper limb amputation not only leads to serious local disability but carries with it substantial systemic implications. The replantation of an avulsed limb is all too frequently followed by disappointing functional results. In children, however, with secure bony stability, vascular reconstruction and immediate appropriate nerve repair the results of replantation can be most gratifying. Two such cases have been seen at The Hospital for Sick Children and are reported in detail. The late functional results as illustrated make this complex procedure a very worthwhile undertaking.
上肢近端截肢不仅会导致严重的局部残疾，还会带来重大的全身影响。撕脱肢体的再植术后功能结果往往令人失望。然而，对于儿童来说，通过可靠的骨骼固定、血管重建和及时恰当的神经修复，再植的结果可能会非常令人满意。在病童医院就遇到过两例这样的病例，并在此详细报告。如下所示的后期功能结果表明，这一复杂手术是非常值得进行的。
