ROTATING SHAFT AVULSION AMPUTATIONS OF THE THUMB

被引：6

作者：

BOWEN, CVA

BEVERIDGE, J

MILLIKEN, RG

JOHNSTON, GHF

机构：

[1] Toronto, Ontario

[2] Department of Orthopaedic Surgery, University Hospital, Saskatoon, Saskatchewan

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1991年 / 16A卷 / 01期

关键词：

D O I：

10.1016/S0363-5023(10)80024-3

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：

In a three-year period twenty-nine patients were treated for rotating shaft avulsion amputations of the thumb. Twenty-three thumbs were considered suitable for replantation. A staged approach, consisting of primary replantation and secondary nerve grafting and tendon reconstruction, was used because of concern that survival rates would be low. Survival was achieved in nineteen of twenty-three replantations. At mean follow-up of 20.5 months grip strength was 94.6% of the unaffected side and key pinch was 77.1%. Five patients achieved a two-point discrimination less than five millimeters. Success was better anticipated and now a full reconstruction is carried out in a single-stage procedure.

引用

页码：117 / 121

页数：5

共 17 条

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