Cao X, Cai J, Liu W
Department of Orthapaedic Surgery, Jinan Military Hospital, Shandong, Peoples Republic of China.
Microsurgery. 1996;17(1):17-20. doi: 10.1002/(SICI)1098-2752(1996)17:1<17::AID-MICR3>3.0.CO;2-T.
Twenty-five cases of avulsive amputation of the thumb are reported. Twenty-one of the 25 cases were categorized as Grade I avulsions (little or no skin defect) and four were categorized as Grade II avulsions complicated by a large skin defect. Three different replantation techniques were used and compared: (1) direct vessel anastomosis, (2) arterial anastomosis between the superficial branch of the radial artery and distal end of the thumb, and (3) arterial anastomosis after artery transfer from other digits. The authors concluded that direct vessel anastomosis was not the preferred method and that technique 2 could be used in any case but was especially suited to Grade II reconstructions. Technique 3 is mainly used in Grade I avulsions.
报告了25例拇指撕脱性离断伤。25例中21例被归类为I级撕脱伤（皮肤缺损很少或无皮肤缺损），4例被归类为伴有大面积皮肤缺损的II级撕脱伤。采用并比较了三种不同的再植技术：（1）直接血管吻合术；（2）桡动脉浅支与拇指远端之间的动脉吻合术；（3）从其他手指转移动脉后的动脉吻合术。作者得出结论，直接血管吻合术不是首选方法，技术2可用于任何情况，但特别适合II级重建。技术3主要用于I级撕脱伤。
