Patradul A, Ngarmukos C, Parkpian V
Department of Orthopaedic Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Hand Surg Br. 1998 Oct;23(5):578-82. doi: 10.1016/s0266-7681(98)80005-3.
Since January 1990, 237 replantations or revascularizations have been attempted in 192 patients with distal traumatic amputations of the digits. The amputations were complete in 182 digits and incomplete in 55 digits. Sixty-three amputations were in zone I and 174 in zone II (Tamai's classification). The overall success rate was 91%. Twelve digits failed in zone I and ten in zone II. We conclude that zone I and zone II replantation or revascularization is quick and worthwhile, providing acceptable sensation, appearance and near-normal function.
自1990年1月以来，我们对192例手指远端创伤性截肢患者进行了237次再植或血管重建手术。其中182指为完全性截肢，55指为不完全性截肢。根据玉井分类法，63例截肢位于I区，174例位于II区。总体成功率为91%。I区有12指再植失败，II区有10指再植失败。我们得出结论，I区和II区的再植或血管重建手术迅速且值得进行，能提供可接受的感觉、外观及接近正常的功能。
