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食指经掌骨截肢术:手部力量及并发症的临床评估

Transmetacarpal amputation of the index finger: a clinical assessment of hand strength and complications.

作者信息

Murray J F, Carman W, MacKenzie J K

出版信息

J Hand Surg Am. 1977 Nov;2(6):471-81. doi: 10.1016/s0363-5023(77)80029-4.

DOI:10.1016/s0363-5023(77)80029-4
PMID:925334
Abstract

A clinical study of hand strength and complications in 41 patients with a transmetacarpal amputation of the index finger found that the average prehension strength was reduced by 20% and stability of grip by almost 50%. Tendon transfers or other operative modifications did not affect the results. The most disabling complication, hyperesthesia, or painful sensitivity to light touch, in the thumb--long-finger web was present in 59% of patients and interfered with hand function in 37%.

摘要

一项针对41例食指经掌骨截肢患者手部力量和并发症的临床研究发现,平均抓握力降低了20%,握力稳定性降低了近50%。肌腱转移或其他手术改良并未影响结果。最致残的并发症是拇指-长指蹼处的感觉过敏,即对轻触的疼痛敏感,59%的患者存在该并发症,37%的患者手部功能受到影响。

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Transmetacarpal amputation of the index finger: a clinical assessment of hand strength and complications.食指经掌骨截肢术:手部力量及并发症的临床评估
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A Prospective Comparative Study of Ray Resection versus Amputation through Proximal Phalanx for Nonviable Digits of Upper Limb.上肢无活力手指经近端指骨行截指术与截肢术的前瞻性对比研究
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