Berger A, Hierner R, Becker M H, Rieck B, Lassner F
Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Schwerverbrannten Zentrum, Medizinische Hochschule Hannover.
Unfallchirurg. 1997 Sep;100(9):694-704. doi: 10.1007/s001130050179.
In the early days of replantation surgery, if viability was restored the operation was judged a success. Nowadays restoration of viability alone is not sufficient to fulfill the criteria of successful replantation, which are as follows: Lack of severe systemic disturbances due to the replantation, a "functional extremity" according to the definition of Chen et al. (1978), no or little pain at the site of the replantation, good aesthetic results, and an acceptable length of time for rehabilitation and return to normal life. Successful replantation needs a therapy concept that is based on an exact definition of the amputation injury from the viewpoint of the amount of severance, the level of the amputation, and the type of amputation mechanism, complete knowledge of current replantation indications, and exact selection of patients amenable for replantation.
在再植手术早期，如果恢复了肢体存活，该手术就被判定为成功。如今，仅恢复存活已不足以满足成功再植的标准，这些标准如下：不因再植而出现严重的全身紊乱，根据Chen等人（1978年）的定义具备“功能完好的肢体”，再植部位无疼痛或仅有轻微疼痛，美观效果良好，以及康复并恢复正常生活所需的可接受时长。成功的再植需要一个治疗理念，该理念基于从离断程度、截肢平面以及截肢机制类型的角度对截肢损伤进行精确界定，全面了解当前的再植指征，并准确选择适合再植的患者。
