Soucacos P N, Beris A E, Malizos K N, Touliatos A S
Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, Greece.
Microsurgery. 1994;15(7):454-8. doi: 10.1002/micr.1920150704.
Seventy-one patients with thumb amputations, 45 complete and 26 incomplete nonviable, have been treated at the Microsurgical Unit of the Department of Orthopaedic Surgery at the University of Ioannina Medical School over the past 15 years. Of these thumb amputations, which included crush, avulsion, and guillotine injuries, three cases involved amputation of both thumbs. The three patients with complete bilateral thumb amputations are presented. Because of the importance of the thumb, microsurgical replantation efforts were made which proved successful for two of the patients. Replantation efforts in the third patient, who had severe crush injuries of both thumbs, were not successful. Bilateral thumb amputation is a serious and disabling injury. When replantation is attempted by a team of surgeons well trained in microsurgery, the final result can be impressive, with exceptionally good function of the replanted thumbs.
在过去15年里，约阿尼纳大学医学院骨科显微外科收治了71例拇指离断患者，其中45例为完全离断，26例为不完全离断且组织无活力。这些拇指离断包括挤压伤、撕脱伤和切割伤，其中3例为双侧拇指离断。本文介绍这3例双侧拇指完全离断的患者。由于拇指的重要性，进行了显微外科再植手术，其中2例成功。第3例患者双侧拇指严重挤压伤，再植手术未成功。双侧拇指离断是一种严重的致残性损伤。当由训练有素的显微外科医生团队尝试进行再植手术时，最终结果可能令人印象深刻，再植拇指功能异常良好。
