Amputations of the fingers and hand: indications for replantation.
نویسنده
چکیده
With hand and digital replantation now widely available in most urban settings, initial treating physicians must be aware of the factors that may influence outcome, so that informed decisions can be made regarding referral for replantation and appropriate early treatment. The author outlines the factors pertaining to amputations of the fingers and hand, provides general guidelines for indications for and contraindications to replantation, and discusses reported results.
منابع مشابه
پیوند دست قطع شده از سطح کف دست: گزارش موردی
Background: Even though replantation surgery has now become a routine procedure, it remains delicate and demanding surgery, requiring adequate training and expertise in microsurgical techniques. Functional outcomes following replantation vary with the level of injury. Replants of the fingers distal to the flexor superficial are insertion, the hand at the wrist, and the upper extremity at the di...
متن کاملPrognostic factors on survival rate of fingers replantation
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, tr...
متن کاملTranspositional replantation of digits. Case reports.
Heterotopic or transpositional replantation of digits is technically feasible with results similar to those of conventional replantation procedures. Occasionally in multiple digital amputations not all the digits may be replanted in their correct place as a result of complex injuries proximal to the amputation zone or severe damage to important fingers. In these circumstances the amputated digi...
متن کاملDefying standard criteria for digital replantation: A case series.
INTRODUCTION There is much controversy regarding the current indications and contraindications for digital replantation. PRESENTATION OF CASE Three patients with absolute contraindications for digital replantation according to classical criteria are presented (Case 1: multilevel amputation of the hand and fingers; Case 3: avulsion of the thumb; Case 4: index amputation proximal to the inserti...
متن کاملCold-induced vasospasm after finger replantation; abnormal sensory regeneration and sensitisation of cold nociceptors.
Cold-induced vasospasm which may present clinically as "white fingers", after hand injuries has been reported to be as high as 100% after replanted digital amputations. The exact cause of this is obscure and no specific treatment is available. To try to shed light on the cause of post-traumatic cold-induced vasospasm we evaluated replanted digits in seven patients who had had replantations more...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of the American Academy of Orthopaedic Surgeons
دوره 6 2 شماره
صفحات -
تاریخ انتشار 1998