THUMB REPLANTATION - SURVIVAL FACTORS AND RE-EXPLORATION IN 122 CASES

被引：49

作者：

ARAKAKI, A ^{[1
]}

TSAI, TM ^{[1
]}

机构：

[1] CHRISTINE M KLEINERT INST HAND & MICRO SURG,225 ABRAHAM FLEXNER WAY,SUITE 850,LOUISVILLE,KY 40202

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1993年 / 18B卷 / 02期

关键词：

D O I：

10.1016/0266-7681(93)90094-V

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We analyzed 122 cases of replantation following complete amputation of the thumb and correlated various factors with rates of survival. The overall survival rate of thumb replantation was 71%. The type of amputation markedly affected survival rate. In minimally damaged amputations, the time period from injury to the start of surgery was the only significant factor related to survival. Other factors such as age, smoking history, amputation level, the number of vessels reconstructed and the method used did not relate statistically to survival. With avulsion amputations, the survival rate of replantation at and proximal to the MP joint was significantly better than replantation distal to the MP joint. 20 thumbs required re-exploration for vascular compromise; nine of these were salvaged (45%).

引用

页码：152 / 156

页数：5

共 18 条

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