腕部离断的再植手术方法及临床效果观察

Clinical outcomes of replantation following wrist-proximal complete transverse amputation

目的探讨腕部完全离断后再植的手术方法及临床疗效。方法回顾性分析我院2006年2月-2015年6月收治的11例腕部完全离断患者,对患者实施断腕再植术,术中根据具体伤情决定骨折固定或部分切除腕骨,术后对患肢成活率、活动度、肌力、感觉、外形、后遗症、工作能力等多方面进行评定。结果 11例肢体均成活,优9例,良2例,差0例。优良率100%。结论断腕再植是一个成熟的术式,只要注重术中操作细节,灵活处理具体情况,预后一般良好。

Objective To explore the clinical outcomes of replantation following wrist-proximal complete transverse. Methods Clinical data about 11 patients with wrist-proximal complete transverse amputation in our hospital from February 2006 to June 2015 were reviewed and analyzed. Patients were treated by replantating wrist amputation at emergency. Fracture fixation or amputating part of carpal was selected based on patients＇ condition. The recovery of patients was evaluated by survival rate, activity, muscle strength, sensory, appearance, sequel and work：related ability of affected limb. Results All the 11 wrists survived. The excellent, good and poor outcomes were achieved in 9, 2 and 0 patients respectively with excellent and good rate reaching 100%. Conclusion Replantation of amputated wrist is an established surgery method with good prognosis by paying attention to the operation details and dealing with specific conditions flexibly.