【摘要】 目的报告断足暂时性异位寄养再回植术后功能康复的方法与效果。方法2001年7月及2002年1月收治2例断足患者。均为男性,年龄分别为31岁和19岁。致伤原因分别为机器及热钢条绞伤。伤后6h入院行暂时性异位寄养,术后3个月行再回植术。通过主动、被动运动,按摩、高压氧以及保护觉和位置觉训练等方法对患者进行康复治疗,并对康复效果进行随访研究。结果再回植术后断足均成活。患者分别获6年及5年7个月随访。第1跖趾关节背伸分别为12°和15°,第1跖趾关节跖屈分别为15°和13°,其他足趾跖趾关节背伸分别为8°和9°。伸趾肌肌力和屈趾肌肌力均为4级。踝关节融合于功能位。两点辨别觉分别为20mm和18mm,浅痛觉、触觉、深痛觉及位置觉均恢复。皮肤色泽、温度正常,不需特殊保护。双下肢等长,无跛行,不需使用短腿支具或拐杖,可以参加轻体力工作。结论断足暂时性异位寄养再回植术后通过运动和感觉功能康复手段能在一定程度上有效地恢复断肢功能。更多还原

【Abstract】 Objective To study the recovery method and effect of amputated foot after temporary ectopic implant-ation. 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 12o and 15o, flex degree of first metatarsal digital joint was 15o and 13o, and extension degree of other metatarsal digital joints was 8o and 9o. 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.更多还原