Suspended Replantation in Complete Amputations of the Hand and Finger
Journal of the Korean Society for Surgery of the Hand
;
: 9-17, 2011.
Article
in Korean
| WPRIM
| ID: wpr-211208
ABSTRACT
PURPOSE:
We report the results of replantations which was intentionally delayed for a certain period of time in patients with an amputation of multiple digits, both hands or the single digit presented at night. MATERIALS ANDMETHODS:
Two staged intentianlly delayed replantations were performed in twenty patients. Three patients had amputations of four or more fingers, two had bilateral hand amputations and fifteen had a single digit amputation.RESULTS:
The mean warm ischemic time was 3 hours and 58 minutes. The mean cold ischemic time was 2 hours and 36 minutes for the first operation, and 15 hours and 13 minutes for the second operation. Twenty digits out of 28 digits (85%) survived completely. At the mean follow-up of months, functional results according to Chen's criteria were rated as excellent in six patients, good in eight, and fair in five.CONCLUSION:
When the patients had multiple finger amputations, bilateral hand amputations or presented late at night, intentional delay of the replantation also provide satisfactory outcomes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Replantation
/
Follow-Up Studies
/
Intention
/
Cold Ischemia
/
Warm Ischemia
/
Fingers
/
Hand
/
Amputation, Surgical
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society for Surgery of the Hand
Year:
2011
Type:
Article
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