Digital sensibility following replantation

Gelberman, Richard H.; Urbaniak, James R.; Bright, Donald S.; Levin, L. Scott

doi:10.1016/s0363-5023(78)80030-6

Cited by 147 publications

(57 citation statements)

References 16 publications

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“…[21][22][23] We found that, on the contrary, no significant relationship between sensory return and the level of amputation, which was reported likewise in few studies. 6,24 The mean follow up was long enough, as postulated for studies of sensory recovery.…”

Section: Sensibilitysupporting

confidence: 51%

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Long-term functional and subjective results of thumb replantation

et al. 2006

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The aim of this follow-up study was to evaluate the functional and subjective results after thumb replantation. Twenty-four patients with replantation of the thumb, performed during the period 1992-1997, were reexamined after 6.5 years (range, 4.2-9.1 years post-injury). In 10 cases the amputations were isolated, 14 amputations were combined with other injuries of the hand, 15 amputations resulted from crush/avulsion injuries, and 9 amputations were sharp. Range of motion, grip strength, cutaneous sensibility, and upper-extremity functioning using the DASH questionnaire were determined. A correlation analysis with important variables was performed. Average range-of-motion in the metacarpophalangeal joint was 44 degrees (+/-24.2) and in the interphalangeal joint was 12 degrees (+/-8.4). Grip-strength of the injured hand was 70% (+/-31.4) and pinch strength was 68% (+/-28.7) in comparison to the non-injured hand. DASH-scores correlated with grip-strength, pinch-strength, and cutaneous sensation but no correlation was found between DASH and the level of amputation. Functional results were independent of amputation levels and patient age. Although the results of cutaneous sensibility were only moderate, patients were able to use their thumb to perform work and daily living activities. The majority of patients had returned to their previous occupation.

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Section: Sensibilitysupporting

confidence: 51%

“…In accordance with the findings of Gelberman et al we found no significant relationship between the length of ischemia and sensibility. 22 Cold intolerance was found in all patients.…”

Section: Additional Factorsmentioning

confidence: 86%

Long-term functional and subjective results of thumb replantation

et al. 2006

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“…Patients were examined at 3 months, 6 months, 1 year, and after 2 years following replantation. Medical thermography was introduced to assess postoperative circulation following digital replantation, while vasomotor tone was assessed by cold-stress plethysmography testing.…”

mentioning

confidence: 99%

Patterns of thermoregulation associated with cold intolerance after digital replantation

1995

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Twelve patients with complete thumb amputations were analyzed to determine the interrelations between thermoregulation for pain and cold intolerance and sensory nerve recovery. Patients were examined at 3 months, 6 months, 1 year, and after 2 years following replantation. Medical thermography was introduced to assess postoperative circulation following digital replantation, while vasomotor tone was assessed by cold-stress plethysmography testing. Postoperative circulation was divided into two different patterns based upon skin temperature, the transition of which over time correlated well with sensory nerve recovery. Patients with cold intolerance showed a persistent vasoconstriction pattern, the cold change of which was objectively detected by thermography.

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“…However, cold intolerance has been assumed to be the result of vascular insufficiency and peripheral nerve injury suffered during the original trauma and thus may be independent of treatment method. [63][64][65] Studies reported various other post-treatment digital morbidities, such as hypersensitivities or paresthesias, graft necrosis or eventual loss, stiffness and residual pain, or post-operative infections. Many of these complications are not easily or reliably measured and reported.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Outcomes after Revision Amputation for Treatment of Traumatic Finger Amputation

2015

Plastic and Reconstructive Surgery

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Digital sensibility following replantation

Cited by 147 publications

References 16 publications

Long-term functional and subjective results of thumb replantation

Long-term functional and subjective results of thumb replantation

Patterns of thermoregulation associated with cold intolerance after digital replantation

A Systematic Review of Outcomes after Revision Amputation for Treatment of Traumatic Finger Amputation

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