拇指再植：存活率及功能恢复与损伤类型的相关性

Replantation of the thumb: survival rate and functional recovery in correlation with type of injury.

作者信息

Daoutis N, Efstathopoulos D, Gerostathopoulos N, Misitzis D, Bouchlis G, Anangnostou S, Spiridonos S

机构信息

Hand Surgery-Microsurgery Clinic, Kat Accident Hospital, Athens, Greece.

出版信息

Microsurgery. 1993;14(7):454-6. doi: 10.1002/micr.1920140707.

DOI:10.1002/micr.1920140707

PMID:8264378

Abstract

During a period of 4 years, we attempted replantation of an amputated thumb in 21 patients. We present the survival rate as well as the functional recovery in correlation with type of injury. In 21 thumbs, 16 survived surgery (76.2%); 2 out of 5 losses belonged to the guillotine category and 3 belonged to the crush-avulsion category. Out of the 11 thumbs that belonged to the crush-avulsion type, 8 survived, which is a 72.7% success rate. Eight out of 10 thumbs of the guillotine type survived, an 80% success rate. The cosmetic and functional result was satisfactory.

摘要

在4年的时间里，我们对21例患者的离断拇指进行了再植尝试。我们呈现了成活率以及与损伤类型相关的功能恢复情况。在21例拇指中，16例手术成功存活（76.2%）；5例失败病例中，2例属于切割伤类型，3例属于挤压撕脱伤类型。在11例挤压撕脱伤类型的拇指中，8例存活，成功率为72.7%。10例切割伤类型的拇指中有8例存活，成功率为80%。美容和功能效果令人满意。