Complete digital amputations undergoing replantation surgery: a 10-year retrospective study
详细信息 查看全文
- 作者：Ryan M Neinstein (1)
Linda T. Dvali (2)
Suzanne Le (3)
D.J. Anastakis (4) (5) - 关键词：Complete amputations ; Outcomes
- 刊名：HAND
- 出版年：2012
- 出版时间：September 2012
- 年：2012
- 卷：7
- 期：3
- 页码：263-266
- 全文大小：139KB
- 参考文献：1. Masuhara K, Tamai S, Fukunishi H, et al. Experience with reanastomosis of the amputated thumb. Seikeigeka. 1967;18:403-.
2. Isenberg JS. Flying solo: a single year–single surgeon community hospital replantation/revascularization experience. J Reconstr Microsurg. 2002;18:483-. CrossRef
3. Woo-Kyung K, Seung-Kyu S, Jae-Ho L. Fingertip replantations: clinical evaluations of 135 digits. Plast Reconstr Surg. 1996;98:470-. CrossRef
4. Soucacos PN. Indications and selection for digital amputation and replantation. J Hand Surg [Br]. 2001;26:572-1. jhsb.2001.0595">CrossRef
5. An PC, Kuo YR, Lin TS, et al. Heterotopic replantation in mutilating hand injury. Ann Plast Surg. 2003;50:113-. discussion 118-119. CrossRef
6. Arakaki A, Tsai TM. Thumb replantation: survival factors and re-exploration in 122 cases. J Hand Surg [Br]. 1993;18:152-. CrossRef
7. Wang H. Secondary surgery after digit replantation: its incidence and sequence. Microsurgery. 2002;22:57-1. CrossRef
8. Waikakul S, Sakkarnkosol S, Vanadurongwan V, et al. Results of 1018 digital replantations in 552 patients. Injury. 2000;31:33-0. CrossRef
9. MacLeod A M, O'Brien B M, Morrison W A. Digital replantation: clinical experiences. Clin Orthop Relat Res: 1978;26-4.
10. Kaplan FT, Raskin KB. Indications and surgical techniques for digit replantation. Bull Hosp Jt Dis. 2001;60:179-8.
11. Patradul A, Ngarmukos C, Parkpian V. Distal digital replantations and revascularizations. 237 digits in 192 patients. J Hand Surg [Br]. 1998;23:578-2. CrossRef
12. Niibayashi H, Tamura K, Fujiwara M, et al. Survival factors in digital replantation: significance of postoperative anaemia. J Hand Surg [Br]. 2000;25:512-.
13. van Adrichem LN, Hovius SE, van Strik R, et al. The acute effect of cigarette smoking on the microcirculation of a replanted digit. J Hand Surg [Am]. 1992;17:230-. CrossRef
14. Merle M, Dautel G. Advances in digital replantation. Clin Plast Surg. 1997;24:87-05. - 作者单位：Ryan M Neinstein (1)
Linda T. Dvali (2)
Suzanne Le (3)
D.J. Anastakis (4) (5)
1. Department of Plastic and Reconstructive Surgery, University of Toronto, Toronto, ON, Canada
2. Division of Plastic Surgery, Department of Surgery, University of Toronto, University Health Network, East Wing 2nd Floor, 399 Bathurst St., Toronto, ON, M5T 2S8, Canada
3. Conflict Studies, Saint Paul University/University of Ottawa, Ottawa, ON, Canada
4. Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
5. Toronto Western Hospital, UHN, 399 Bathurst Street, EW-2, Toronto, ON, M5T 2S8, Canada
文摘
Background As a result of growing expertise and skill, replantation surgery has evolved to more than the technical reattachment of an amputated part. Methods A retrospective study of complete digital amputations undergoing replantation surgery was conducted for the purpose of assessing trends in these complex cases. All incomplete and partial amputations were excluded. Results A total of 171 patients who had replantation surgery between January 1, 1994 and December 31, 2003 for 278 completely amputated digits were reviewed. Of the 171 patients, 91 (53?%) had work-related injuries. The main mechanism of injury was saw injury (95 patients) for both occupational- and non-occupational-related injuries. The proximal phalanx was the most common level of amputation and the thumb was most frequently involved. The injuries happened more commonly in the summer months. Microvascular failure occurred in 29?% of the replanted digits and was most commonly associated with avulsion-type injuries. Conclusions Complete amputations represent a more complex injury than incomplete amputations, with a higher failure rate.