摘要
目的 报道足趾离断再植特点及其临床结果与功能康复。 方法 对 60例 70趾离断足趾进行再植 ,采用变换体位 ,顺行方法进行再植。 结果 70趾中 68趾成活 ,成活率 97%,再植趾外形恢复良好 ,屈曲度趾 2 5°～ 65° ,第二、三趾为 3 6°～ 85° ,趾尖两点辨别觉为 1 1～ 1 8mm。步态平稳正常 5 0例 ,基本正常 10例。 结论 离断的足趾在有条件下应尽力再植 ,足趾离断再植可减少伤残度 ,也可保持足部功能和外观 ,精良的显微外科手术可以提高再植成功率。
Objective To report the clinical effect,characteristic and functional recovery of replantation of amputated pediphalanx. Methods Sixty cases (70 toes) of amputated toes had been taken the replantation which methods were anterograde and changing postural. Results Sixty-eight were successful in all the 70 amputated toes.The survival rate was 97%.The shape of replanted toes was good.About the range of flexion,the great toes were 25°～60° and the second and third toes were 36°～85°.The two-point discrimination on the toe tip was 1.1～1.8 mm.In the gait 60 cases had been normal and 10 cases had closed to normal. Conclusion The replantation of amputated toe must be performed with taking great pains.The successful operation can reduce the degree of disability of patient and remain the function and shape of the foot.To raise the rate of success of the operation,the skilled technology of microsurgery was the most important.
出处
《中华显微外科杂志》
CSCD
北大核心
2004年第2期111-112,共2页
Chinese Journal of Microsurgery
