Abstract: Endovascular Thrombolysis for Extremity Frostbite Decreases Digital Amputations and Hospital Length of Stay (LOS)
نویسندگان
چکیده
METHODS: Retrospective chart review of single surgeon’s experience following repair of OBPI from June 1995 to June 2015. Twelve patients underwent nerve grafting +/neurotization of the upper trunk only while fourteen patients underwent repair of the upper trunk and neurotization of the suprascapular nerve. Shoulder abduction and ER were recorded preoperatively and postoperatively in degrees. Postoperative range of motion and the difference gained in degrees following surgery were measured by independent t-test analysis.
منابع مشابه
Abstract: Therapy of Upper Limb Hyperidrosis with a Minimally-Invasive Endoscopic Technique: 18 Years of Experience
INTRODUCTION: Traditionally, frostbite management includes rewarming protocols, supportive care, and delayed amputation after tissue demarcation. Recent studies have described alternative management with angiography and intraarterial lysis to treat the microvascular thrombotic consequences of ice crystal formation.1 Our purpose was to evaluate the effects of intraarterial thrombolysis on digita...
متن کاملLower Extremity Foot Ulcers and Amputations in Diabetes
Lower extremity ulcers and amputations are an increasing problem among individuals with diabetes. Data from the 1983-90 National Hospital Discharge Surveys (NHDS) indicate that 6% of hospitalizations listing diabetes on the discharge record also listed a lower extremity ulcer condition. Chronic ulcers were present in 2.7% of all hospitalizations that listed diabetes. The average length of stay ...
متن کاملImproving the level of amputation of the lower extremity after therapeutic endovascular intervention for patients with critical limb ischemia
Methods: We conducted a comparative study of two groups of patients suffering from arterial insufficiency of the lower extremities, and the decision taken to amputate above the knee for both of them. A group of patients selected for a therapeutic peripheral intervention, and the effect of this intervention in improving the level of amputation studied and calculated statistically. The study cond...
متن کاملUse of Intra-arterial Thrombolytic Therapy for Acute Treatment of Frostbite in 62 Patients with Review of Thrombolytic Therapy in Frostbite
Amputations are common after severe frostbite injuries, often mediated by postinjury arterial thrombosis. Since 1994, the authors have performed angiography to identify perfusion deficits in severely frostbitten digits and treated these lesions with intraarterial infusion of thrombolytic agents, usually combined with papaverine to reduce vasospasm. A retrospective review was performed of patien...
متن کاملReduction of the incidence of amputation in frostbite injury with thrombolytic therapy.
HYPOTHESIS Thrombolytic therapy will decrease the incidence of amputation when administered within 24 hours of exposure. DESIGN Single institution retrospective review of clinical outcomes and resource use. SETTING Burn unit of a tertiary academic referral center. PATIENTS From 2001 to 2006, patients with severe frostbite admitted within 48 hours of injury underwent digital angiography an...
متن کامل