远端手指再植：改善结果的挑战和策略。

IF 1.2 3区医学 Q2 SURGERY

Seminars in Plastic Surgery Pub Date : 2025-06-20 eCollection Date: 2025-08-01 DOI:10.1055/s-0045-1809651

Chung-Chen Hsu, Yun-Jui Lu

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引用次数: 0

摘要

自20世纪60年代以来，手指再植取得了重大进展。尽管取得了进展，但由于技术和临床的复杂性，远端手指再植仍然是最具挑战性的显微外科手术之一。本文以临床经验和文献综述为基础，探讨了当前的挑战和远端手指再植的策略解决方案。主要障碍包括处理细小的血管结构，静脉充血，以及没有可用血管进行血运重建的危急情况。手术技术的进步，包括骨合成前静脉移植、血管内支架、孤立中央牙髓动脉分叉分割、真皮下口袋法和术后管理，提高了疗效。

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Distal Digit Replantation: Challenges and Strategies to Improve Outcomes.

Digit replantation has undergone significant advancements since the 1960s. Despite progress, distal digit replantation remains one of the most challenging microsurgical procedures due to technical and clinical complexities. This review examines current challenges, strategic solutions in distal digit replantation, grounded in clinical experience and literature review. Key obstacles include managing minute vessel structures, venous congestion, and the critical condition of no available vessels for revascularization. Advances in surgical techniques, including preosteosynthesis vein grafting, intravascular stent, solitary central pulp artery bifurcation division, subdermal pocketing method, and postoperative management, have enhanced outcomes.

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来源期刊

Seminars in Plastic Surgery SURGERY-

CiteScore

4.10

自引率

5.00%

发文量

期刊介绍： Seminars in Plastic Surgery is a quarterly review journal that publishes topic-specific issues covering all areas of aesthetic and reconstructive plastic surgery. The journal''s scope includes issues devoted to breast reconstruction, rhinoplasty, lipogenesis and lipoplasty, craniomaxillofacial trauma, and all other major plastic surgery procedures. The journal also covers such emerging areas as free tissue transfer, lasers, endoscopic facial plastic procedures, as well as all the related technologies associated with these techniques.