Long-term Follow-up of Hand Function after Digit Replantation

Лебедев, Л В; Bogomolov, M S; Vavylov, V N; Шломин, В В; Tokarevitch, K K; Yurtaev, E. A.; Горбунов, Г Н; Dadalov, M I

doi:10.1097/00000637-199310000-00007

Cited by 12 publications

(7 citation statements)

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“…Urbaniak et al in a study of the outcomes of 59 consecutive single finger replants in 1985 concluded that replantation of a single finger amputated distal to the FDS insertion was justified, but replantation of a single finger amputated proximal to the FDS insertion was seldom indicated. 4 Subsequent reports by Tark et al (1989) 55 , Boeckx et al (1992) 56 , Lebedev et al (1993) 57 , and Waikakul et al (2000) 45 have reaffirmed that single digit amputations distal to the insertion of the FDS should be considered as an indication for replantation.…”

Section: Discussionmentioning

confidence: 98%

A Systematic Review of the Outcomes of Replantation of Distal Digital Amputation

Sebastin¹,

Chung²

2011

Plastic and Reconstructive Surgery

228

226

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Background The aim of this study is to conduct a systematic review of the English literature on replantation of distal digital amputations to provide the best evidence of survival rates and functional outcomes. Methods A MEDLINE search using “digit, finger, thumb, and replantation” as keywords and limited to humans and the English language identified 1297 studies. Studies were included in the review if they: (1) present primary data; (2) report 5 or more single or multiple distal replantations; (3) present survival rates. Additional data extracted from the studies meeting the inclusion criteria included demographic information, nature and level of amputation, venous outflow technique, nerve repair, recovery of sensibility, range of motion, return to work, and complications. Results 30 studies representing 2,273 distal replantations met the inclusion criteria. The mean survival rate was 86%. There was no difference in survival between zone I and zone II replantations (Tamai classification). There was a significant difference in survival between replantation of clean-cut versus the more crushed amputations (crush-cut and crush-avulsion). The repair of a vein improved survival in both zone I and zone II replantation. The mean 2-PD was 7mm (n=220) and 98% returned to work (n=98). Complications included pulp atrophy in 14% of patients (n=639) and nail deformity in 23% (n=653). Conclusion The common perception that distal replantation is associated with little functional gain is not based on scientific evidence. This systematic review showed a high success rate and good functional outcomes following distal digital replantation.

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Section: Discussionmentioning

confidence: 98%

A Systematic Review of the Outcomes of Replantation of Distal Digital Amputation

Sebastin¹,

Chung²

2011

Plastic and Reconstructive Surgery

228

226

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“…In a long-term follow-up study of replantations and revascularizations, Lebedev et al 30 noted satisfactory function and active range of motion of seven thumb replantations. Abduction/opposition was greater than 50 degrees.…”

Section: Discussionmentioning

confidence: 99%

Great toe transplant versus thumb replant for isolated thumb amputation: Critical analysis of functional outcome

Rosson

Buncke²,

Buncke³

2008

Microsurgery

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“…14,23 The level of injury, with regard to both bone amputation and the site at which the skin is cut, has been extensively addressed in the literature. 19,[37][38][39] Some investigators have concluded that there is no association between the level of injury and the rate of survival, 6,26,40 whereas they found that the restoration of total active motion was significantly better when the amputation was distal to the insertion of the flexor digitorum superficialis tendon. Bone amputation was distal in the majority of the patients (proximal interphalangeal articulation or distal in 17 cases), whereas only 2 others had complete degloving lesions without amputation.…”

Section: Discussionmentioning

confidence: 99%