Prognostic factors on survival rate of fingers replantation
Acta ortop. bras
;
23(1): 16-18, Jan-Feb/2015. tab, fig
Artigo
em Inglês
| LILACS
| ID: lil-735722
ABSTRACT
Objective:
To evaluate the factors that influence the survival rate of replantation and revascularization of the thumb and/or fingers.Methods:
We included fifty cases treated in our department from May 2012 to October 2013 with total or partial finger amputations, which had blood perfusion deficit and underwent vascular anastomosis. The parameters evaluated were age, gender, comorbidities, trauma, time and type of ischemia, mechanism, the injured area, number of anastomosed vessels and use of vein grafts. The results were statistically analyzed and type I error value was set at p <0.05 .Results:
Fifty four percent of the 50 performed replantation survived. Of 15 revascularizations performed, the survival rate was 93.3%. The only factor that affected the survival of the amputated limb was the necessity of venous anastomosis.Conclusion:
We could not establish contraindications or absolute indications for the replantation and revascularization of finger amputations in this study. Level of Evidence III, Retropective Study.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Prognóstico
/
Reimplante
/
Anastomose Cirúrgica
/
Traumatismos dos Dedos
/
Amputação Traumática
Tipo de estudo:
Estudo prognóstico
Limite:
Adolescente
/
Adulto
/
Idoso
/
Aged80
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Acta ortop. bras
Assunto da revista:
Ortopedia
Ano de publicação:
2015
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade de São Paulo/BR
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