MAJOR LIMB REPLANTATION IN CHILDREN

被引：34
作者：
DAIGLE, JP [1 ]
KLEINERT, JM [1 ]
机构：
[1] CHRISTINE M KLEINERT INST HAND & MICRO SURG,225 ABRAHAM FLEXNER WAY,SUITE 800,LOUISVILLE,KY 40202
来源：
MICROSURGERY | 1991年 / 12卷 / 03期
关键词：
D O I：
10.1002/micr.1920120312
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
This retrospective study evaluated patients under 18 years of age who underwent major limb replantation between 1976 and 1989 at Louisville Hand Surgery. The age of the 15 patients followed for between 1 and 8.5 years (mean 4.2 years) ranged from 2 to 17 years (mean 9.8). Of amputations, 40% were guillotine, 40% were limited crush-avulsions, 7% were extended crushing, and eight were of an upper extremity and seven of a lower extremity. Average warm/total ischemia times were 4.8/14.8 hr in failures and 1.1/7.5 hours is successful replantation. Overall limb survival was 87%. Among the patients, 93% felt that their replanted limb functioned and looked better than a prosthesis; 87% of patients had a sensory recovery of more than S2 + in the lower extremity or S3 in the upper extremity; and 38% of upper extremity replantation patients had two-point discrimination of less than 15 mm.
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页码：221 / 231
页数：11
相关论文
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