Soucacos P N, Beris A E, Malizos K N, Vlastou C, Soucacos P K, Georgoulis A D
Department of Orthopaedic Surgery, University of Ioannina School of Medicine, Greece.
Microsurgery. 1994;15(7):469-73. doi: 10.1002/micr.1920150707.
In 34 of the 62 patients treated for complete multiple digital amputations, the severed part was not replanted in its anatomical position, but in the place of the most useful stump. This procedure is defined as transpositional digital microsurgery and refers to the transposition and replantation of any digit to another stump which plays a more significant role in the function of the hand. Twenty-eight patients had transposition of a digit, while six patients underwent thumb transposition. All except six of the transposed digits survived, while all of the thumbs survived the surgical procedure. The cosmetic appearance of the hand with a transposed digit or thumb was acceptable to the patients. Two-point discrimination was assessed to be 10-14 mm for the transposed digits, and the functional ability of the transplanted digit was comparable to digits which were replanted in their anatomical position. In conclusion, transpositional digital microsurgery remains a useful alternative for the treatment of multiple digit amputations, particularly in patients with severely damaged non-replantable amputated parts.
在62例接受完全性多指离断治疗的患者中，有34例患者离断的手指未原位再植，而是植于最有用的残端处。该手术定义为移位性手指显微外科手术，指的是将任何手指移位并再植到另一个在手部功能中起更重要作用的残端。28例患者进行了手指移位，6例患者进行了拇指移位。除6个移位手指外，其余均存活，所有拇指均在手术中存活。患者对手部移位手指或拇指的外观表示满意。移位手指的两点辨别觉评估为10 - 14毫米，移植手指的功能能力与原位再植的手指相当。总之，移位性手指显微外科手术仍然是治疗多指离断的一种有用的替代方法，特别是对于离断部分严重受损无法再植的患者。
