Malizos K N, Beris A E, Kabani C T, Korobilias A B, Mavrodontidis A N, Soucacos P N
Department of Orthopaedic Surgery, Medical School, University of Ioaninna, Greece.
Microsurgery. 1994;15(7):464-8. doi: 10.1002/micr.1920150706.
Replantation of a completely amputated part of the distal phalanx, which has a very small vessel size, has been reported by several authors with a varying rate of success. Drainage through venous anastomosis is not always possible. In 12 completely amputated fingers, at the level of, or more distal to, the distal interphalangeal joint, we attempted microsurgical replantation with a successful outcome in ten cases. Seven digits had one or two veins anastomosed. In five digits, an adequate size vein was not found, and the drainage was accomplished with provoked bleeding which was maintained for the 3 postoperative days at the expense of blood transfusion. In all successful cases the patients returned to their occupation in a mean of 9 weeks with very good or excellent functional results.
几位作者报道了末节指骨完全离断部分的再植情况，该部位血管非常细小，成功率各不相同。通过静脉吻合进行引流并非总是可行。在12例指间关节或更远端水平的手指完全离断病例中，我们尝试进行显微再植，10例获得成功。7个手指吻合了1条或2条静脉。在5个手指中，未找到足够粗大的静脉，通过诱发出血来完成引流，并在术后3天内维持，这以输血为代价。在所有成功的病例中，患者平均在9周后恢复工作，功能结果非常好或极佳。
