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Published on: July 15, 2009
[Following-up study on recovery of amputated foot after temporary ectopic implantation]
Jiangning Wang1, Libin Zhang, Shouyu Wang
1Institute of Reparative and Reconstructive Surgery, Dalian University, Dalian Liaoning, 116021, P.R. China. dlwangjn@vip.sina.com
Objective:
To study the recovery method and effect of amputated foot after temporary ectopic implantation.
Methods:
Two male patients with amputated foot were treated with temporary ectopic implantation in July 2001 and January 2002. Amputated foot was caused by mechanical injury and crush injury. After 6 hours, temporary ectopic implantation of amputated foot was given and replantation was done 3 months after primary operation. The recovery methods were as follows: automatic and passive motion, high pressure oxygen, massage, protective and positional feeling training, etc. The effects of recovery was observed.
Results:
All amputated foots survived after operation, the time of follow-up was 6 years, and 5 years and 7 months. Extension degree of first metatarsal digital joint was 12 degrees and 15 degrees, flex degree of first metatarsal digital joint was 15 degrees and 13 degrees, and extension degree of other metatarsal digital joints was 8 degrees and 9 degrees. Force degree of extension muscle was 4, force degree of flex muscle was 4, and two-point discrimination was 20 mm and 18 mm. Patients recovered their superficial sensibility, touch sense, deep pain sense and topognosis. The skin color and temperature were normal. And the patients could do some housework.
Conclusion:
Temporary ectopic implantation of amputated foot can recover the function of amputated foot by motor and sensitive recovery methods.