Datiashvili R O
Department of Emergency Microsurgery, Russian Academy of Medical Sciences National Surgical Research Center, Moscow.
Plast Reconstr Surg. 1993 Mar;91(3):541-7. doi: 10.1097/00006534-199303000-00024.
The progress of contemporary medicine and operative techniques makes it possible to successfully perform the simultaneous replantation of major segments of two extremities, especially in young patients, taking into consideration their high biologic potential. An adequate antishock management, hemotransfusion therapy in particular, at all stages of treatment is an indispensable condition of a favorable outcome of such operations. The method of lengthening the extremities using a distraction apparatus is rather promising for the improvement of functional results of replantations of major segments of the lower extremities. The use of this method makes it possible to broaden the scope of indications for such operations.
当代医学和手术技术的进步使同时再植两个肢体的主要节段成为可能，特别是对于年轻患者，考虑到他们较高的生物学潜能。在治疗的各个阶段进行充分的抗休克处理，尤其是输血治疗，是此类手术取得良好效果的不可或缺的条件。使用牵张装置延长肢体的方法对于改善下肢主要节段再植的功能结果颇具前景。这种方法的应用能够扩大此类手术的适应证范围。
