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在Tamai 1区进行完整指截肢移植后的连续临床康复

Koichi Yano¹, Yasunori Kaneshiro¹, Seungho Hyun¹

¹Department of Orthopaedic Surgery, Seikeikai Hospital, Sakai-ku, Sakai City, Osaka, Japan.

Journal of hand and microsurgery

|September 13, 2023

概括

完全截肢的远端手指的移植显示,在六个月内,总体活跃运动和握力明显恢复. 一年后进一步恢复高原,一些患者经历了脉缩或指甲形.

科学领域:

手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
微手术微手术是一种微手术.
整形外科手术整形外科手术

背景情况:

远端手指移植的结果通常是可以接受的.
关于移植后的连续恢复模式的数据有限.
了解长期功能恢复对于患者管理至关重要.

研究的目的:

评估完全截肢的远端手指在移植后长达一年的连续临床恢复.
为了跟踪功能结果,包括运动范围,力量,感觉和患者报告的残疾.
确定影响康复和潜在并发症的因素.

主要方法:

一个前性研究,对19名完整的远端手指截肢患者进行了前性研究 (塔米1区),这些患者经历了成功的再移植.
评估总活跃运动 (TAM),握力 (GS),Semes-Weinstein (SW) 单丝试验,静态两点歧视 (s2PD) 和手臂,肩膀和手的残疾 (DASH) 在3,6,9和12个月的得分.
在12个月后评估肉皮缩和指甲形.

主要成果:

在手术后3至6个月之间观察到%TAM,%GS,s2PD和DASH得分的显著改善.
%TAM和%GS在3到6个月后显著恢复 (分别p < 0.01和p = 0.02).
感觉 (SW测试) 在3至12个月之间显著改善 (p = 0.04). 12个月的DASH分数与%TAM (r=-0.64),%GS (r=-0.58) 和年龄 (r=0.52) 相相关.

结论:

远端手指移植在术后的前六个月内显示出显著的功能恢复.
虽然最初的恢复速度很快,但功能收益在6至12个月之间会稳定.
潜在的并发症包括肉皮缩和指甲形,强调需要持续监测.

关键词:

临床康复临床康复截肢指的截肢是指指的截肢.再种植,重新种植.区域1 区域1 是一个区域.

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