Berger A, Meissl G, Walzer R
Handchirurgie. 1981;13(1-2):70-4.
In order to completely evaluate the results after replantation or revascularization of an amputated part, an additional factor, integration or the adaptation of the replanted part to the activities of daily living and to the occupational life of the patient, should be considered. Six categories are developed and illustrated with examples. Each of the categories is assigned a high differential multiplication factor according to whether the replanted part is useless (factor 1), not useful but also not a hindrance (factor 10), is only an aid to the healthy extremity (factor 30) or is of limited use in daily life and at work (factor 50). Factor 70 is assigned when the amputated part can be used with retraining in another job and is not a hindrance in daily life. Factor 100 applies when the replanted part does not interfere with daily living or occupation. This factor should be regarded as a supplementary assessment which attempts to objectively evaluate a replanted or revascularized part of the hand.
为了全面评估断肢再植或血运重建后的结果，还应考虑一个额外因素，即再植部分与患者日常生活及职业生活的融合或适应情况。现制定了六个类别并举例说明。根据再植部分是无用的（系数1）、无用但也不妨碍（系数10）、仅辅助健全肢体（系数30）、在日常生活和工作中用途有限（系数50），为每个类别赋予一个高差异倍增系数。当断肢经过再训练可用于另一工作且不妨碍日常生活时，赋予系数70。当再植部分不干扰日常生活或职业时，适用系数100。该系数应被视为一种补充评估，旨在客观评估手部的再植或血运重建部分。
