An Overview of Replantation and Results of 347 Replants in 245 Patients
作者:
HAROLD KLEINERT,
MICHAEL JABLON,
TSU‐MIN TSAI,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1980)
卷期:
Volume 20,
issue 5
页码: 390-398
ISSN:0022-5282
年代: 1980
出版商: OVID
数据来源: OVID
摘要:
&NA;A review of 245 patients requiring replantation surgery from 1970 to 1978 revealed a 70% survival rate for complete amputation. In this group, there were 347 replanted parts, including the lower extremity. Upper‐extremity survival rates alone (>90%) are higher than for lower extremity replantation. Meaningful assessment of replantation must include not only survival data but functional criteria as well. While functional data are incomplete on several early cases, our assessment criteria are reviewed. Criteria should include two‐point discrimination sensibility ratings, grip strength, range of motion, absence of cold intolerance, and return to employment. Evaluation of candidates for replantation is critical, and the importance of teams with microsurgical skills working in special centers is emphasized.
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