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循证术后再植方案。

Evidence-based postoperative replantation protocols.

机构信息

Division of Orthopedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, 12631 E. 17th Avenue, Academic Office 1, Mail Stop B202, Aurora, CO, 80045, USA.

出版信息

Eur J Orthop Surg Traumatol. 2024 Oct;34(7):3699-3705. doi: 10.1007/s00590-023-03706-8. Epub 2023 Aug 28.

DOI:10.1007/s00590-023-03706-8
PMID:37639003
Abstract

Postoperative care is essential to upper extremity replantation success and includes careful and frequent monitoring of the replanted part. During this period, pharmacologic agents such as antithrombotic and anticoagulants may prevent complications such as arterial thrombosis and venous congestion. Dressings and therapy can also impact short- and long-term outcomes following replantation. This article reviews the literature to provide guidance for postoperative protocols following upper extremity replantation.

摘要

术后护理对上肢再植的成功至关重要,包括对再植部位进行仔细频繁的监测。在此期间,抗血栓和抗凝等药物治疗可能预防动脉血栓形成和静脉淤血等并发症。敷料和治疗方法也会影响再植后的短期和长期效果。本文综述了文献,为上肢再植后的术后方案提供指导。

相似文献

1
Evidence-based postoperative replantation protocols.循证术后再植方案。
Eur J Orthop Surg Traumatol. 2024 Oct;34(7):3699-3705. doi: 10.1007/s00590-023-03706-8. Epub 2023 Aug 28.
2
Is Antithrombotic Therapy Necessary Following Replantation of an Amputated Digit?断指再植后是否需要抗栓治疗?
J Hand Surg Asian Pac Vol. 2019 Mar;24(1):1-5. doi: 10.1142/S2424835519500012.
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Eur Rev Med Pharmacol Sci. 2015;19(14):2552-61.
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Postoperative Management and Rehabilitation of the Replanted or Revascularized Digit.再植或血管重建手指的术后管理与康复
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J Plast Reconstr Aesthet Surg. 2021 Feb;74(2):407-447. doi: 10.1016/j.bjps.2020.08.056. Epub 2020 Aug 26.
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Principles of microvascular surgery in the upper extremity.上肢微血管外科手术原则。
Eur J Orthop Surg Traumatol. 2024 Oct;34(7):3647-3659. doi: 10.1007/s00590-023-03749-x. Epub 2023 Oct 24.
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Hand Clin. 2007 Feb;23(1):13-21. doi: 10.1016/j.hcl.2007.01.001.
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Salvage of replanted parts of the upper extremity.
J Bone Joint Surg Am. 1985 Jul;67(6):880-3.
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本文引用的文献

1
Management of Artery-Only Digit Replantation: A Systematic Review of the Literature.仅动脉的断指再植的处理:文献系统综述。
Plast Reconstr Surg. 2022 Jul 1;150(1):105-116. doi: 10.1097/PRS.0000000000009185. Epub 2022 May 10.
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Postoperative Digit and Hand Replantation Protocols: A Review of the Literature.术后手指和手部再植方案:文献回顾。
J Am Acad Orthop Surg. 2021 Aug 1;29(15):e732-e742. doi: 10.5435/JAAOS-D-20-01176.
3
Trends in Digital Replantation: 10 Years of Experience at a Large Canadian Tertiary Care Center: Les tendances de la replantation digitale : dix ans d'expérience d'un grand centre canadien de soins tertiaires.
数字再植的趋势:加拿大一家大型三级护理中心的十年经验:数字再植的趋势:加拿大一家大型三级护理中心的十年经验
Plast Surg (Oakv). 2021 Feb;29(1):21-29. doi: 10.1177/2292550320925914. Epub 2020 Jul 20.
4
Leech Therapy Following Digital Replantation and Revascularization.断指再植及血运重建术后的水蛭疗法。
J Hand Surg Am. 2020 Jul;45(7):638-643. doi: 10.1016/j.jhsa.2020.03.026. Epub 2020 May 31.
5
Successful local use of heparin calcium for congested fingertip replants.肝素钙在充血性指尖再植中的局部应用成功。
Arch Plast Surg. 2020 Jan;47(1):54-61. doi: 10.5999/aps.2019.00815. Epub 2020 Jan 15.
6
Finger and thumb replantation: From biomechanics to practical surgical applications.手指和拇指再植:从生物力学到实际手术应用。
Hand Surg Rehabil. 2020 Apr;39(2):77-91. doi: 10.1016/j.hansur.2019.10.198. Epub 2019 Dec 16.
7
Comparison of Single-Dose Infraclavicular Brachial Plexus Block and Continuous Infraclavicular Brachial Plexus Block Applications in the Treatment of Finger Amputations.单剂量锁骨下臂丛神经阻滞与连续锁骨下臂丛神经阻滞在手指离断伤治疗中的应用比较
J Hand Microsurg. 2019 Dec;11(3):134-139. doi: 10.1055/s-0039-1681115. Epub 2019 Mar 1.
8
Role of Postoperative Anticoagulation in Predicting Digit Replantation and Revascularization Failure: A Propensity-matched Cohort Study.术后抗凝在预测断指再植和血管再通失败中的作用:一项倾向匹配队列研究。
Ann Plast Surg. 2019 Nov;83(5):542-547. doi: 10.1097/SAP.0000000000001848.
9
Effect of vasopressor use on digit survival after replantation and revascularization-A large retrospective cohort study.血管加压素使用对再植和再血管化后手指存活的影响:一项大型回顾性队列研究。
Microsurgery. 2020 Jan;40(1):5-11. doi: 10.1002/micr.30461. Epub 2019 Apr 16.
10
Postoperative Management and Rehabilitation of the Replanted or Revascularized Digit.再植或血管重建手指的术后管理与康复
Hand Clin. 2019 May;35(2):221-229. doi: 10.1016/j.hcl.2019.01.003. Epub 2019 Feb 18.