Abstract
From February, 1974 to June, 1976, replantation of 11 severed arms was performed at Chukyo Hospital, and 10 of these replantations were successful. Follow-up studies were performed regarding the status of the circulation, length and girth, motor function, sensory function, and autonomic nerve function. The peripheral circulation of the replanted arms was relatively poor, but did not correlate closely with function of the arm. Useful sensation returned in 8 patients and effective pinch and grasp returned in 6 patients. When observed objectively, 6 of 10 patients recovered satisfactory function. Subjectively, however, 8 patients were satisfied with their results and in the remaining 2 patients, satisfactory function in the future is anticipated. The most important factors in functional prognosis were the level of severance and the severity of crushing. In order to obtain satisfactory results, replantation should be confined to young patients with a non-crushing amputation.
Résumé
Entre Février, 1974 et Juin, 1976, 11 réimplantations de bras ont été réalisées au Chukyo Hospital: 10 ont réussi. Les études postopératoires ont porté sur l'état circulatoire, la longueur et la circonférence, les fonctions motrices et sensibles et le système nerveux autonome. La circulation périphérique des bras réimplantés est assez pauvre, mais est sans rapport étroit avec l'état functionnel du membre. Une sensibilité utile est réapparue chez 8 malades et 6 ont récupéré la fonction de préhension. L'examen objectif révèle que 6 malades ont retrouvé une fonction satisfaisante. Au point de vue subjectif, 8 malades sont satisfaits des résultats et nous espérons obtenir une fonction satisfaisante chez les 2 autres. Les facteurs les plus importants pour le pronostic fonctionnel sont le niveau de section et la gravité des lésions d'écrasement. Pour obtenir des résultats satisfaisants, la réimplantation ne devrait être faite que chez des malades jeunes, avec une section franche, non contuse.
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Matsuda, M., Shibahara, H. & Kato, N. Long-term results of replantation of 10 upper extremities. World J. Surg. 2, 603–612 (1978). https://doi.org/10.1007/BF01556056
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DOI: https://doi.org/10.1007/BF01556056