Cheng G L, Pan D D, Zhang N P, Fang G R
Department of Hand and Microsurgery, The 401st Hospital of CPLA and The Microsurgery and Hand Surgery Center of CPLA, Qingdao, People's Republic of China.
J Hand Surg Am. 1998 Jul;23(4):635-46. doi: 10.1016/S0363-5023(98)80049-X.
Twenty-six children aged from 14 months to 12 years had a total of 44 amputated digits replanted in our hospital between May 1979 and May 1985. The length of follow-up was from 9 to 15 years (average, 11 years). Among the 43 surviving digits, the mean total active motion of the thumb and fingers was 130 degrees and 151 degrees, respectively. Sensibility recovery was excellent, with normal 2-point discrimination in 88%. A mean of 19 of 20 preselected activities of daily living could be accomplished. Relative grip strength was 79% that of the normal side and the relative pinch strength was 88%. Cold intolerance was slight or moderate in 40% of patients, and slight atrophy was present in 12 digits. Angulatory deformity or malalignment were remodeled. The circulatory status of the replanted fingers was excellent in 88% of digits and good in 12%. Bone growth had a mean relative length of 93% of normal in digits without joint involvement and 88% in those with joint involvement. Assessed with Nakamura Tamai criteria, the results were excellent in 25 cases (96%) and good in 1. All patients and their parents were satisfied with the results of the digital replantation.
1979年5月至1985年5月期间，我院对26名年龄在14个月至12岁之间的儿童共44根断指进行了再植。随访时间为9至15年（平均11年）。在43根存活的手指中，拇指和手指的平均总主动活动度分别为130度和151度。感觉恢复良好，88%的患者两点辨别觉正常。平均能完成20项预先选定的日常生活活动中的19项。相对握力为健侧的79%，相对捏力为88%。40%的患者有轻度或中度的冷不耐受，12根手指有轻度萎缩。成角畸形或对线不良得到矫正。88%的再植手指循环状况良好，12%的手指循环状况尚可。未累及关节的手指骨生长平均相对长度为正常的93%，累及关节的手指为88%。根据中村玉井标准评估，结果优25例（96%），良1例。所有患者及其家长对断指再植的结果均满意。
