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KMID : 0616619960020040255
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Journal of Soonchunhyang Medical College
1996 Volume.2 No. 4 p.255 ~ p.263
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A Preliminary Report of Replantation Surgery
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나수균/Rah, Soo Kyoon
윤치순/최창욱/김학현/Yoon, Chi Soon/Choi, Chang Uk/Kim, Hak Hyun
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Abstract
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It was about 70 years ago that Carrel and Guthrie started experimental limb replantation. Malt succeeded, firstly, replantation of the amputated arm of 12 years old boy in 1962 and Tamai succeeded finger replantation in 1965. Since Jacobson and Suarez described superiority of small vessel repair using microscope, further advances in replantation occurred with the development of suture material (18-20μ) and needles (65-120μ); making repair of vessels of 1 mm in diameter.
The authors experienced four cases of traumatic amputation during the period from March, 1979 to Sept.. 1979 and the primary result of replantation is reported in this paper.
1. All cases were male and in the age group between 21 to 29.
2. Mode of amputation; two cases were amputated by presser, one case was by iron cutter and one was by paper cutter machine.
3. Tow out of four cases were incomplete amputation and two were complete multiple amputation. One case of multiple amputations was right four digits except thumb at the proximal phalanx level and the other was bilateral wrists.
4. The shortest duration of ischemia was four hours and 45 minutes and the longest was 13 and a half hours.
5. Four out of four replanted digits and two wrists were survived and the remains were failed. The possible cause of failure seems to be too long ischemic time.
6. Further functional results will be reported later.
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