Chow J A, Bilos Z J, Chunprapaph B, Hui P
Ann Plast Surg. 1983 Jan;10(1):15-23. doi: 10.1097/00000637-198301000-00004.
The replantation of amputated extremities is justified only by the ultimate good function and appearance of the replanted part. This paper is a critical review of our clinical experience with forearm replantation and revascularization in 6 patients over the past ten years. All replanted parts survived. The long-term functional results of the forearm replants are analyzed. Return of function depends on nerve regeneration. The functional outcome in the first patient was unsatisfactory due to poor motor and sensory return. Specific attention directed to careful primary neurorrhaphy in subsequent cases yielded favorable results. We believe that two factors in particular are central in achieving good functional results in forearm replantation--careful repair of the severed major peripheral nerves, and postoperative hand rehabilitation programs.
断肢再植仅在再植部位最终具有良好功能和外观时才具有合理性。本文是对我们过去十年中6例前臂再植和血管重建临床经验的批判性回顾。所有再植部位均存活。分析了前臂再植的长期功能结果。功能恢复取决于神经再生。首例患者因运动和感觉恢复不佳，功能结果不理想。在随后的病例中，特别注意仔细进行一期神经缝合，取得了良好效果。我们认为，在前臂再植中取得良好功能结果尤其重要的两个因素是——仔细修复离断的主要周围神经和术后手部康复计划。
