MacLeod A M, O'Brien B M, Morrison W A
Clin Orthop Relat Res. 1978 Jun(133):26-34.
In a series of 130 digital replantations successful revascularization has been obtained in 74% of cases. Arterial thrombosis is the most common cause (65%) of all failures. A useful digit can be obtained following replantation and the surgery is particularly indicated for amputated thumbs and in hands suffering multiple injuries. Precautionary measures against bleeding are absolutely essential. Primary tendon and nerve repairs are advocated. Vascular occlusion may be corrected by revisional surgery and secondary surgery can improve tendon nerve or joint function.
在一系列130例断指再植手术中，74%的病例成功实现了血管再通。动脉血栓形成是所有失败病例中最常见的原因（65%）。再植后可获得功能良好的手指，该手术特别适用于拇指离断以及手部多发伤。预防出血的措施绝对必要。提倡进行一期肌腱和神经修复。血管闭塞可通过翻修手术纠正，二期手术可改善肌腱、神经或关节功能。
