Chen C T, Wei F C, Chen H C, Chuang C C, Chen H T, Hsu W M
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Microsurgery. 1994;15(1):77-82. doi: 10.1002/micr.1920150118.
Microsurgical replantation has been attempted in the distal phalanx of the digits. Twenty-three complete, single digit amputations are reviewed. The patients' ages ranged from 9 months to 48 years. Viability was 78%. Sensory recovery averaged 7 mm static two-point discrimination. Range of motion in the distal interphalangeal joint of the finger and the interphalangeal joint of the thumb averaged 64 and 51 degrees, respectively. Eight of the 17 successfully replanted digits had mild to moderate atrophy. Eighty-two percent of patients were able to use the replanted digit successfully in their daily work. We feel that distal digital replantation is rewarding. In successful cases, it always preserves acceptable function and good appearance at a price of an average of 2.3 months off work.
已尝试在手指末节指骨进行显微外科再植。回顾了23例完整的单指离断病例。患者年龄从9个月至48岁不等。成活率为78%。感觉恢复平均静态两点辨别力为7毫米。手指远侧指间关节和拇指指间关节的活动范围平均分别为64度和51度。17例成功再植的手指中有8例有轻度至中度萎缩。82%的患者能够在日常工作中成功使用再植手指。我们认为手指末节再植是值得的。在成功的病例中，它总是以平均2.3个月的误工时间为代价，保留可接受的功能和良好的外观。
