W Brandmair, E Biemer, W Duspiva, E Herndl, W Stock
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引用次数: 0
摘要
讨论了儿童截肢损伤再植的可能性。该技术也适用于多处截肢和严重挤压伤。超过一半的移植手指成功愈合。自从Klinikum Rechts der Isar再植中心成立以来,进行了600多例分离肢体手术。成人四肢完全和部分分离的治愈率为87%。采用微血管吻合术对14例1 ~ 8岁儿童分离手指进行再植。损伤的程度和解剖结构的最小尺寸对手术标准的要求特别高。严重挤压和污染的肢体也适用再植。
The possibility of replantation is discussed for children's amputation injuries. The use of this technique is also indicated for multiple amputations and severe crush injuries. More than half of the replanted fingers healed successfully. Since the existence of the Replantation centre of the Klinikum Rechts der Isar, over 600 operations of separated limbs were performed. The healing rate of totally and subtotally separated limbs of adults was 87%. The attempt was made to replant separated digits of 14 children, aged from 1 to 8 years, with microvascular anastomoses. The grade of injuries and the minimal size of anatomic structures demand a particularly high standard of the operative standard. Replantation was also indicated for badly squashed and contaminated limbs.