Wilson C S, Alpert B S, Buncke H J, Gordon L
Clin Plast Surg. 1983 Jan;10(1):85-101.
In recent years, the functional results after replantation surgery have improved with increased experience. Stiffness remains as the single greatest postoperative problem. Improvements in this area are now possible with aggressive and closely supervised postoperative hand therapy and splinting. The efficiency of the replantation effort itself has increased dramatically in the hands of a number of surgeons experienced in replantation working together as a team. Once vascular flow to an amputated part has been reestablished, the injury is converted to a complex upper extremity injury that would be treated aggressively by many surgeons trained in this discipline. The stigma associated with the amputated part as being one to which function may never be restored has largely been eliminated. One thing is certain ... missing digits never function.
近年来，随着经验的增加，再植手术后的功能恢复情况有所改善。僵硬仍然是最主要的术后问题。现在，通过积极且密切监督的术后手部治疗和夹板固定，这一领域有望得到改善。在一些经验丰富的再植外科医生团队协作下，再植手术本身的效率有了显著提高。一旦恢复了断肢的血流，损伤就转变为复杂的上肢损伤，许多接受过该领域培训的外科医生会积极进行治疗。与断肢相关的、认为其功能可能永远无法恢复的污名在很大程度上已被消除。有一点是肯定的……缺失的手指永远无法发挥功能。
