原位回植联合腹部包埋术在无血管吻合条件的末节离断复合组织块再植中的临床应用

Salvage of a distal phalange composite tissue mass ineligible for vascular anastomosis by temporary implantation to the abdomen and secondary orthotopic replantation

目的 总结原位回植联合腹部包埋术在无血管吻合条件的末节离断复合组织块再植中的临床疗效。方法 2018年6月-2021年12月,对32例无血管吻合条件的末节复合组织块采用原位回植联合腹部包埋术完成修复。结果 末节复合组织块成活28例,部分坏死2例,坏死2例。随访1~18个月,平均8个月,末节复合组织块修复成功率87.5%,功能恢复良好。结论 原位回植联合腹部包埋术再植无血管吻合条件的末节离断复合组织块效果良好,手术方法简单,易于开展。

Objective To review the clinical effect of temporary implantation to the abdomen followed by orthotopic replantation as a salvage procedure when immediate vascular anastomosis is not feasible for a distal phalange composite tissue mass.Methods From June 2018 to December 2021,32 of such cases were recorded.Results Twenty-eight patients'distal phalange composite tissues were successfully reattached and able to function properly.Partial necrosis occurred in 2 patients and another 2 patients suffered total necrosis.Medical follow-up with these patients lasted for different months,from 1 to 18,with an average of 8 months per person.The survival rate of distal phalange composite masses was 87.5%,which brought phalanges back to their normal functions.Conclusion Temporary implantation to the abdomen followed by orthotopic replantation is an undemanding and effective procedure when immediate vascular anastomosis is not practicable for distal phalange composite tissues.