Van Overstraeten L, Foucher G
SOS Main-Strasbourg.
Ann Chir Main Memb Super. 1995;14(2):74-83.
The authors studied 43 patients having sustained an amputation of one middle finger treated either by simple ray resection or translocation. The index-middle translocation was followed by more minor postoperative complications compared to all other techniques. A global score, taking into account daily activities, cosmetic result lack of mobility, residual pain, decreased strength, time off work, and return to work gave 131 points for simple third ray resection compare to index middle translocation (-252 points). Surprisingly, reduction of hand span on X ray study was minimal but strength was not correlated and translocation gave better strength, and therefore appears to be more appropriate for manual workers. For ring amputation, the score was definitely better for Leviet translocation with intracarpal osteotomy (143 points versus -36 for simple ray resection). However, the only drawback is more frequent (but minor) residual pain.
作者研究了43例因中指截肢而接受单纯指骨切除术或移位术治疗的患者。与所有其他技术相比，示指-中指移位术后的并发症较少。综合考虑日常活动、外观效果、活动受限、残留疼痛、力量下降、误工时间和恢复工作情况的总体评分显示，单纯第三指骨切除术得131分，而示指-中指移位术得-252分。令人惊讶的是，X线检查显示手跨度减小 minimal，但力量未相关，移位术的力量更好，因此似乎更适合体力劳动者。对于环指截肢，Leviet腕内截骨移位术的评分明显更好（143分，而单纯指骨切除术为-36分）。然而，唯一的缺点是残留疼痛更频繁（但较轻）。
