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指尖离断再植:适应证、策略及术后处理。

Distal fingertip replantation: indications, strategy and postoperative management.

机构信息

Department of Plastic Surgery, Hand and Reconstructive Microsurgery, Ganga Medical Center and Hospitals Pvt. Ltd., Coimbatore, Tamilnadu, India.

Department of Hand Surgery and Microsurgery, University Hospital of Modena, Modena, Italy.

出版信息

J Hand Surg Eur Vol. 2024 Apr;49(4):403-411. doi: 10.1177/17531934241228142. Epub 2024 Jan 31.

Abstract

Distal fingertip replantation is associated with being a technically demanding procedure and dubious outcomes, although it is now performed more frequently across the world. However, the technique and outcomes remain controversial with disagreement among replantation surgeons due to lack of consensus about the indications, intraoperative strategy and postoperative regimes. In this article, we asked six experienced hand surgeons several pertinent questions that every replantation surgeon performing distal fingertip replantation would face in their clinical practice. The article summarizes their responses, which might provide valuable insight to every replantation surgeon in different parts of their career while managing these injuries.

摘要

指尖离断再植术是一项技术要求高且效果存疑的手术,尽管目前在全球范围内的应用更加频繁。然而,由于对适应证、术中策略和术后处理缺乏共识,再植外科医生对此存在分歧,该技术和效果仍存在争议。在本文中,我们向六位经验丰富的手外科医生提出了一些相关问题,这些问题是每位进行指尖离断再植术的再植外科医生在临床实践中都会遇到的。本文总结了他们的回答,这些回答可能会为不同职业生涯阶段的再植外科医生在处理这些损伤时提供有价值的见解。

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