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Characteristics of Secondary Procedures following Digit and Hand Replantation.
Shaterian, Ashkaun; Sayadi, Lohrasb Ross; Anderson, Amanda; Ng, Wendy K Y; Evans, Gregory R D; Leis, Amber.
Afiliación
  • Shaterian A; Department of Plastic Surgery, University of California, Irvine, Orange, California, United States.
  • Sayadi LR; Department of Plastic Surgery, University of California, Irvine, Orange, California, United States.
  • Anderson A; Department of Plastic Surgery, University of California, Irvine, Orange, California, United States.
  • Ng WKY; Department of Plastic Surgery, University of California, Irvine, Orange, California, United States.
  • Evans GRD; Department of Plastic Surgery, University of California, Irvine, Orange, California, United States.
  • Leis A; Department of Plastic Surgery, University of California, Irvine, Orange, California, United States.
J Hand Microsurg ; 11(3): 127-133, 2019 Dec.
Article en En | MEDLINE | ID: mdl-31814663
Introduction Secondary procedures following digit and hand replants are often necessary to optimize functional outcomes. To date, the incidence and characteristics of secondary procedures have yet to be fully defined. Materials and Methods A literature search was performed using the NCBI (National Center for Biotechnology Information) database for studies evaluating secondary procedures following digit and hand replantation/revascularization. Studies were evaluated for frequency and type of secondary procedure following replantation. Descriptive statistical analysis was conducted across the pooled dataset. Results Nineteen studies representing 1,485 replants were included in our analysis. A total of 1,124 secondary procedures were performed on the 1,485 replants. Secondary procedures most commonly addressed tendons (27.1%), bone/joints (16.1%), soft tissue coverage (15.4%), nerve (5.4%), and scar contractures (4.5%). A total of 12.7% of replants resulted in re-amputation (16.7% of secondary procedures). The details of secondary procedures are further described in the article. Conclusion Secondary procedures are often necessary following hand and digit replants. Patients should be informed of the possible need for subsequent surgery, including delayed amputation, to improve hand function. These data improve our understanding of replant outcomes and can help patients better comprehend the decision to undergo replantation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: J Hand Microsurg Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: J Hand Microsurg Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos