Clinical Experience of Eight Years About Digit Replantation: Demographic Characteristics and Outcomes

Oruç, Melike

doi:10.5505/tjtes.2016.40040

Cited by 11 publications

(20 citation statements)

References 20 publications

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“…Fortunately, this challenging procedure is currently performed widely in both academic and community practice settings due to increased access to microsurgery training and education opportunities, to restore not only circulation, but also function, sensation and cosmetic appearance. [1][2][3][4] Objectives: This study aims to evaluate the clinical results and experiences in a community hospital regarding procedures for the replantation and revascularization of fingers.…”

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confidence: 99%

A four-year community hospital experience regarding procedures for the replantation and revascularization of fingers

Gürbüz

Yontar

2021

Jt Dis Relat Surg

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Objectives: This study aims to evaluate the clinical results and experiences in a community hospital regarding procedures for the replantation and revascularization of fingers. Patients and methods: Between June 2015 and December 2019, a total of 58 patients (51 males, 7 females; mean age: 33.4±6.3 years; range, 23 to 46 years) who were followed after total and/or subtotal amputation and replantation were retrospectively analyzed. The patients were evaluated at nine months in terms of cold intolerance, static two-point discrimination, and functional results using the range of motion (ROM) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. Results: The majority of the patients presented with work-related injuries (70%), most commonly by the mechanism of guillotine (64%), and to the dominant hand (76%) and the third finger (36%) most frequently. The overall success rate of digit salvage was 72.9% (n=51). Of 19 digits with unsuccessful surgical outcomes, seven were from total and 12 were from subtotal amputations. In the long-term, cold intolerance was observed in 14 patients (24.1%) according to the cold intolerance severity scale. The mean static two- point discrimination value was 6.0±0.7 mm and the mean QuickDASH score was 22.3±5.0. The mean ROM measured at nine months after surgery in the metacarpophalangeal and interphalangeal joints of the third and fourth digits was significantly lower than that in the others (p<0.05). Conclusion: The predictors of survival of a replanted digit indicated in this study can be used as a guide and decision-making aid for any attempts for replantation.

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confidence: 99%

A four-year community hospital experience regarding procedures for the replantation and revascularization of fingers

Gürbüz

Yontar

2021

Jt Dis Relat Surg

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“…5,6 Saw and laceration amputations are more likely to be successfully replanted than crush amputations, for example, due to differences in soft tissue involvement. 2,5 The mechanism of injury influences the success of replantation and revascularization and the need for subsequent surgeries after revision amputation. 3,5,6 We sought to determine when the different mechanisms of traumatic digit amputations predominate to help clinicians treat these frequent injuries, as well as to provide a baseline to monitor the effectiveness of public health awareness and prevention strategies.…”

Section: Discussionmentioning

confidence: 99%

“…1 Overall, crush and laceration injuries are most common. 2,3 Patient outcomes of traumatic digit amputations are strongly influenced by the mechanism of injury. Patients who experience amputation by laceration or bite have an increased risk of unplanned secondary revision and other adverse outcomes.…”

Section: Introductionmentioning

confidence: 99%

Seasonal Trends in Traumatic Digit Amputations: Experience of a Level І and a Level ІІ Hospital in a Northeastern State

Harris

Goodman

Kuczmarski

et al. 2019

Hand (New York, N,Y.)

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Background: Traumatic digit amputations are common hand injuries in the United States. The primary aim of our study was to describe the relationship between season and mechanisms of amputation. Methods: The Emergency Department and Orthopaedic Surgery Billing Department databases of our level І institution in the Northeast were reviewed to identify patients with a traumatic digit amputation between January 2010 and December 2015. Inclusion criteria were defined as any patient presenting with a partial or complete amputation through Verdan zone I or II. All patient information was entered into a secure database, including date of injury, demographic information, digits amputated, mechanism of injury (crush, laceration, avulsion, bite, blast, saw, snow blower, or lawn mower), and Verdan zones of amputation. In addition to descriptive statistics, Fisher exact and χ2 tests were used to compare the incidence of these traumatic digit amputation mechanisms between seasons. Results: For this 6-year period, an average of 24 patients presented each season for treatment of a traumatic digit amputation. Of all seasons, spring had the highest proportion of lawn mower amputations (62.5%; P < .0001), summer had the highest proportion of blast amputations (75.0%; P = .011), and winter had the highest proportion of snow blower amputations (90.9%; P < .0001). All other traumatic digit amputation mechanisms had no significant seasonal variation in incidence (P > .30). Conclusions: Given that certain traumatic digit amputation mechanisms occur predictably during certain seasons, seasonal public education has the potential to prevent these debilitating injuries.

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“…In the early 80s a boom of ectopic replantation began, indicated for cases with extensive damage in stump in soft tissue, contamination and infections, with a treatment consisting of several debridement’s, antibiotics therapy, repair of tissues and connection of the amputated segment into vessels of the abdominal wall, and after recovery, around the 10th or 12th week, standard replantation is performed [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Functional outcome after hand replantation in Guatemala

Romero-Prieto

González-Morales

2017

Journal of Surgical Case Reports

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Amputations of a traumatic origin are very frequent in developing countries, in the case of Guatemala these are a result of work accidents very closely related to poor work conditions existing for manual workers, as well as social violence and the lack of security that governs society. The present case shows a patient that suffered a left hand amputation at wrist level. Amputated hand was transported swiftly and in adequate conditions, maintaining cold chain at all times until arrival at Hospital for replantation. After 14 months, patient has evolved satisfactorily and obtained functional result of the hand.

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Clinical Experience of Eight Years About Digit Replantation: Demographic Characteristics and Outcomes

Cited by 11 publications

References 20 publications

A four-year community hospital experience regarding procedures for the replantation and revascularization of fingers

A four-year community hospital experience regarding procedures for the replantation and revascularization of fingers

Seasonal Trends in Traumatic Digit Amputations: Experience of a Level І and a Level ІІ Hospital in a Northeastern State

Functional outcome after hand replantation in Guatemala

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