Biemer E, Duspiva W, Herndl E, Stock W, Ramatschi P
Br J Plast Surg. 1978 Jan;31(1):9-15. doi: 10.1016/0007-1226(78)90004-8.
In the 10 months since the establishment of a 24-hour replantation service, the centre at the Klinikum rechts der Isar of the Technical University of Munich has treated 162 amputation injuries; 132 underwent replantation surgery and 117 of these healed successfully. Surgical technique, medication and postoperative treatment with physiotherapy are described. Special emphasis is placed on the difficulties associated with crush and avulsion injuries; in most of them the only solution is an intermediate vein graft to bridge the defect in the vessels.
在建立24小时再植服务后的10个月里,慕尼黑工业大学伊萨尔河右岸临床医院的该中心治疗了162例截肢伤;其中132例接受了再植手术,117例成功愈合。文中描述了手术技术、药物治疗以及术后物理治疗。特别强调了挤压伤和撕脱伤相关的困难;在大多数此类损伤中,唯一的解决办法是采用中间静脉移植来桥接血管缺损。