Ada S, Ozerkan F, Kaplan I
Krankenhaus für Hand-und Microchirurgie, Izmir/Türkei.
Handchir Mikrochir Plast Chir. 1995 Nov;27(6):315-8.
In multidigital amputations, it is sometimes better to replant an amputated finger to a different proximal part if a better function can be expected in this position. In our clinical material between October 1991 and March 1994, heterotopic replantation was performed in twelve digits in eleven patients. Three fingers were replanted to the thumb, three to the index, four to the middle, and two to the ring fingers. The functional results were satisfying. The total active range of motion was on an average 24% of a normal finger. Static two-point discrimination was 8.5 mm on an average, and the values for the Semmes-Weinstein test ranged between 3.61 and 6.5. A heterotopic replantation is of special value for primary thumb reconstruction.
在多指离断伤中,如果将离断的手指再植于不同的近端部位能预期获得更好的功能,那么有时这样做会更好。在我们1991年10月至1994年3月期间的临床资料中,11例患者的12个手指进行了异位再植。3个手指再植于拇指,3个再植于示指,4个再植于中指,2个再植于环指。功能结果令人满意。总的主动活动范围平均为正常手指的24%。静态两点辨别觉平均为8.5毫米,Semmes-Weinstein试验的值在3.61至6.5之间。异位再植对于一期拇指重建具有特殊价值。