Clinical analysis of replantation of finger degloving amputation in children

中华手外科杂志 Pub Date : 2019-08-10 DOI:10.3760/CMA.J.ISSN.1005-054X.2019.04.009

Liping Guo, J. Ju, Kai Wang, G. Jin, Quanwei Guo

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Abstract

Objective To report the clinical treatment and efficacy of replantation of finger degloving amputation in children. Methods From January 2010 to December 2017, 10 cases (12 fingers) of finger degloving amputation were performed replantation in children aged 11 months to 3 years old. The clinical features, surgical precautions and postoperative efficacy of the injuries were retrospectively analyzed. Results Postoperatively 10 fingers survived and 2 fingers died. The postoperative follow-up period was 6 to 12 months. Among them, 2 fingers had mild lateral deformity of distal segment development and 1 finger had hypertrophic scar contracture. The other fingers had good shape and functional recovery. According to the evaluation criteria of replantation function of severed fingers issued by Hand Surgery Society of Chinese Medical Association, the results were rated as excellent in 7 fingers, good in 2 fingers, and poor in 3 fingers. Conclusion The characteristics of finger degloving injury in children are various. Individualized treatment during and after operation can achieve better clinical efficacy. Key words: Child; Replantation; Degloving amputation; Treatment outcome

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儿童手指脱手套截肢再植的临床分析

目的报道小儿手指脱套截肢再植的临床治疗及疗效。方法2010年1月~ 2017年12月，对10例(12指)11月龄~ 3岁的手指去手套截肢患儿进行再植手术。回顾性分析其临床特点、手术注意事项及术后疗效。结果术后存活10指，死亡2指。术后随访6 ~ 12个月。其中2指远节发育轻度外侧畸形，1指增生性瘢痕挛缩。其他手指形态和功能恢复良好。按照中华医学会手外科学会断指再植功能评价标准，7指为优，2指为良，3指为差。结论儿童手指脱手套损伤具有多种特点。术中及术后个体化治疗可获得较好的临床疗效。关键词:儿童;再植;Degloving截肢;治疗结果

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中华手外科杂志

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