儿童断指再植

Digital replantation in children.

作者信息

Cheng G L, Pan D D, Yang Z X, Fang G R, Gong X S

出版信息

Ann Plast Surg. 1985 Oct;15(4):325-31. doi: 10.1097/00000637-198510000-00009.

DOI:10.1097/00000637-198510000-00009

Abstract

This article reports a series of 21 cases of digital replantation in children between 14 months and 10 years of age (mean age, 3 1/2 years) who had a total of 32 digits traumatically amputated. The amputation levels were proximal phalanx in 15 digits, proximal interphalangeal joint in 3 digits, middle phalanx in 3 digits, and distal interphalangeal joint in 11 digits. All but one digit survived after replantation, for an overall survival rate of 96.6%. The longest ischemic time was 28 hours. Several technical points related to the success of this series of cases are discussed in detail.

摘要

本文报告了一系列21例年龄在14个月至10岁（平均年龄3.5岁）的儿童手指再植病例，这些儿童共有32根手指因外伤被截断。截断水平为：15根手指在近节指骨，3根手指在近侧指间关节，3根手指在中节指骨，11根手指在远侧指间关节。除1根手指外，其余所有手指再植后均存活，总体存活率为96.6%。最长缺血时间为28小时。详细讨论了与这一系列病例成功相关的几个技术要点。