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題 名 | Influence of Injury Level on Joint Motility after Finger Replantations=不同的截斷部位對斷指再接植後運動範圍恢復的影響 |
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作 者 | 邱浩遠; 李經維; 徐秀雲; | 書刊名 | 慈濟醫學 |
卷 期 | 7:4 1995.12[民84.12] |
頁 次 | 頁269-276 |
分類號 | 418.92 |
關鍵詞 | 斷指再接植; 截斷部位; 運動範圍; Finger replantation; Level of digital amputation; Range of motion; |
語 文 | 英文(English) |
中文摘要 | 本文計對斷指再接植之後的"關節運動功能恢復"與"最初截斷部位"的相 關聯進行剖析,研究對象係以1990年7月至1994年6月之間109位斷指病患為主體, 總篩選得到54例病案的73隻再植手指,結果顯示:(一)越趨向末梢處的截肢,接植 術後成果較為優異(遠位,中位與近位指節處斷落再植的總關節活動範圍"Total ActiveMotion"分別為205.0±11.3,181.3±6.5及139.7±7.8),(二)創傷部位遠側的關 節所受影響超越近側者,尤以緊鄰接於創傷部位的關節所受影響最大,例如:中 位指節受創時,遠位指節間關節的活動障礙最為顯著 (平均活動範圍降為17.0± 2.4),而近位指節受創時,又以近位指節間關節的活動障礙最為嚴重 (平均活動 範圍僅有31.8±3.8);據此我們得以更準確預知病患接受再植手術後的功能回復概 況,並進而提出手術及復健方面的相關建議,俾能改善病患的手部功用。(慈濟 醫學1995;7:269-276) |
英文摘要 | To assess the relationship between the injury level and the functional outcome of a replanted finger,we investigated the joint motility of 7 3 replanted, revascularized fingers in 54 consecutive patients overthe past 4 years. Our data demonstrate that a distal injury usually fares better than a proximal one. Forinstance, the Tamai's score (TS) and total active range of motion (TAM) of middle phalangealreplantations were 85.1°+ 2.0 and 181.3°±6.5, respectively, which were significantly better than thoseofproximalphalangealreplantations(TS= 77.5°± 1.7, TAM= 139.7°±7.8). Ourdataalsoillustratethatan injury exerts its impact mainly upon the joints distal to it, with the first distal joint bearing most of thebrunt. For example, the poorest recovery of distal interphalangeal joint motility occurred with middlephalangeal replantations (range of motion = 17.0°± 2.4), and the poorest recovery of proximalinterphalangeal joint motility occurred with proximal phalangeal replantations (range of motion = 31.8°±3.8). The joints proximal to the traumatic zone were usually spared from the disabling effect or wereonly minimally affected. From these data, we can more accurately predict the functional outcome of areplanted digit, and therefore better identify which patients might require intensive rehabilitation oradjunct surgery.(Tzu Chi Med J 1995; 7:269-276) |
本系統中英文摘要資訊取自各篇刊載內容。