Nylander G, Vilkki S, Ostrup L
J Hand Surg Br. 1984 Oct;9(3):257-60. doi: 10.1016/0266-7681(84)90037-8.
Reports in the literature give different views of the frequency of serious amputation injuries of the upper extremity. In Sweden the vast majority of work injuries are registered by the Swedish Labour Market Insurance. All registered serious amputation injuries of the upper extremity in Sweden (8 million inhabitants) during 1979 were investigated in this study. For comparison the frequency of all amputation injuries (work and leisure) of the upper extremity in a county of Sweden (0.4 million inhabitants) during five years (1976-1980) were studied. The overall (work and leisure) incidence in Sweden is fourteen serious amputation injuries of the upper extremity per million inhabitants annually, i.e. a total number in the country of 110 cases per year. The frequency is lower in the areas of the largest cities and substantially higher in regions with sawmills, mechanical industry and/or agriculture. Thus, estimation of the total incidence based upon single counties or smaller regions may be misleading. Replantation would have been technically possible in more than 70% of the cases, but attempts at replantation were only carried out in less than 10% of the serious cases. This study emphasizes the importance of a referral of all patients with a suitable injury of the upper extremity to microsurgically trained handsurgeons.
文献中的报告对上肢严重截肢损伤的发生率给出了不同观点。在瑞典，绝大多数工伤由瑞典劳动力市场保险登记。本研究调查了1979年瑞典（800万居民）所有登记的上肢严重截肢损伤情况。作为对比，研究了瑞典一个县（40万居民）在五年（1976 - 1980年）期间上肢所有截肢损伤（工作和休闲所致）的发生率。瑞典上肢截肢损伤的总体（工作和休闲）发生率为每年每百万居民中有14例严重上肢截肢损伤，即该国每年总计110例。在最大城市地区发生率较低，而在有锯木厂、机械工业和/或农业的地区则显著较高。因此，基于单个县或更小区域来估计总发生率可能会产生误导。超过70%的病例在技术上可行再植，但在严重病例中只有不到10%的病例尝试进行了再植。本研究强调了将所有上肢损伤合适的患者转诊给接受过显微外科培训的手外科医生的重要性。
