Zöch G, Meissl G
Abteilung für Plastische und Rekonstruktive Chirurgie, I. Chirurgischen Universitätsklinik Wien.
Handchir Mikrochir Plast Chir. 1987 Nov;19(6):329-31.
A 17-year-old male sustained an amputation of his left arm and a simultaneous complete brachial plexus lesion on the same side. The median nerve was torn nearly completely out of the amputate and the ulnar nerve was avulsed of the stump. The severed extremity was replanted without primary nerve reconstruction. In a further operation three and one-half months later, a neurolysis of the left brachial plexus was performed and the proximal stump of the median nerve was connected to the distal stump of the ulnar nerve using nerve grafts. Two years post trauma the patient has regained sensibility down to the fingertips. He can actively abduct the shoulder, extend his elbow joint, and flex his wrist joint and fingers. The question about replantation of a severed extremity with a coexistent complete brachial plexus lesion is discussed.
一名17岁男性左侧手臂被截肢，同时同侧发生完全性臂丛神经损伤。正中神经几乎完全从断肢处撕裂，尺神经从残端撕脱。断肢未进行一期神经重建就进行了再植。在三个半月后的进一步手术中，对左侧臂丛神经进行了神经松解术，并使用神经移植物将正中神经近端残端与尺神经远端残端相连。创伤后两年，患者已恢复至指尖的感觉。他能够主动外展肩部、伸展肘关节以及屈曲腕关节和手指。本文讨论了伴有并存的完全性臂丛神经损伤的断肢再植问题。
