Digital replantation. A ten-year retrospective study.
Chin Med J (Engl)
; 104(2): 96-102, 1991 Feb.
Article
en En
| MEDLINE
| ID: mdl-1874019
Eight hundred and two digits (592 complete amputation and 210 incomplete amputations) of 549 patients were replanted. The male to female ratio was 3:1 and the age range 1-63 years. 728 digits survived and 74 digits failed. The overall survival rate was 90.8%. Special varieties of complicated amputation were encountered in this series: (1) distal segment replantation, 139 digits, 131 digits (94%) survived; (2) digital replantation of children, 45 cases, 78 digits, average age 3.8 years, the youngest being 1 year old, 68 digits survived (88.7%); (3) rotational avulsion amputation of thumb, 26 digits, 23 digits (88.4%) survived; (4) bilateral digit amputation, 8 cases, 44 digits amputated, 38 digits replanted, including 9 digits of a ten-digit guillotined case. All the digits were salvaged. We conclude that thorough debridement, meticulous anastomosis of blood vessels and timely management of vascular crisis are keys to high survival rate, while judicious selection of indication, proper internal fixation of bone, anastomosis of as many blood vessels as possible, attentive repair of nerves and tendons, sound rehabilitation program are important measures in improving postoperative function.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Reimplantación
/
Traumatismos de los Dedos
/
Dedos
Tipo de estudio:
Observational_studies
Límite:
Adolescent
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Adult
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Child
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Child, preschool
/
Female
/
Humans
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Infant
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Male
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Middle aged
Idioma:
En
Revista:
Chin Med J (Engl)
Año:
1991
Tipo del documento:
Article
Pais de publicación:
China