同体断腿(足)移位再植术的临床应用

自１９７３～１９８５年间，进行了同体断腿（足）移位再植术５例。其中施术时伤员最大５６岁，最小１３岁，均可耐受复杂手术并取得成功。就其治疗经过和经１０～１５年的随访观察，见移植肢体成活良好，发育正常，功能恢复满意。作者认为，此术式有应用和推广意义。关于骨端固定方法，提倡以胫骨制成相应梯形，两枚螺丝钉固定为好。血运重建，其动脉血运重建以胫后动脉吻合为主，但需注意断肢血运情况，如呈供血不足表现，尚需吻合其他动脉。神经修复，以修复并恢复胫神经的功能的重要。

The Clinal Application of Translocation Autografting of Scvered Leg

From 1973 to 1985, 5 cases of severed legs patients were treated with translocation autografting.The age range of patients is 13-56.All ofthem were able to stand that complicated operation which Was succeed too.Through 10 years to 15 years of follow-up study,the replanted limbs viablity and developement were well,and functional recovery is satisfactory.The author believe that this method is worthy recommending.Concerning the method ,the authors stress that:The bone-ends which was madea Ladder-Shaped tibia were fixed by two screws .As to the rebuinding of blood cycle.the authors inclines to anastomose the arteriae tibialisposterior leastly.If the replanted limds reveals blood supply insufficienf,there should anastomose other arteriae else.The neurotization of nervi tibialis is a key to the functional rccovcry of ncrvc.