Suspended Replantation in Complete Amputations of the Hand and Finger
Journal of the Korean Society for Surgery of the Hand
; : 9-17, 2011.
Article
em Ko
| WPRIM
| ID: wpr-211208
Biblioteca responsável:
WPRO
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 AND METHODS: 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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Reimplante
/
Seguimentos
/
Intenção
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Isquemia Fria
/
Isquemia Quente
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Dedos
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Mãos
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Amputação Cirúrgica
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Society for Surgery of the Hand
Ano de publicação:
2011
Tipo de documento:
Article