REPLANTATION OF DIGITS - FACTORS INFLUENCING SURVIVAL AND FUNCTIONAL RESULTS

被引:35
作者
ZUMIOTTI, A [1 ]
FERREIRA, MC [1 ]
机构
[1] UNIV SAO PAULO,FAC MED,IOT,DEPT ORTHOPED,BR-01246903 SAO PAULO,BRAZIL
关键词
D O I
10.1002/micr.1920150107
中图分类号
R61 [外科手术学];
学科分类号
摘要
Immediate survival and functional results were studied in 60 finger replants performed from 1980 to 1990. The follow-up ranged from 1 to 5 years with the mean of 2 years and 8 months. The survival rate achieved was 70% and was not related to the patient's age, the mechanism of injury, the level of amputation, the total ischemia time, the number of arteries and veins repaired or the type of vascular reconstruction. Sensory return was related to the mechanism of amputation and the total active motion was strongly correlated with the level of amputation. Of the 16 digits that had only one artery anastomosed, there were 10 survivals (62.5%), and in 15 digits with anastomosis of two arteries, the success rate was 86.66% (P = 0.1244). The success rate in those cases in which vascular grafts were employed was 62.96% (P = 0.4161). In replantations with one, two or three veins anastomosed, the survival rate was 50%, 79.16% and 100%, respectively (P = 0.1324). (C) Wiley-Liss, Inc.
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页码:18 / 21
页数:4
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  • [1] Komatsu A, Tamai S, Successful replantation of a completately cutoff thumb. Case report, Plastic and Reconstructive Surgery, 42, pp. 374-377, (1968)
  • [2] Caetano EB, Nachiluck A, Marmille GA, Reimplante cruzado de dedo para restauração da pincça polici digital, Rev Bras Ortop, 17, pp. 54-56, (1982)
  • [3] Chen ZW, Yu H, Current procedures in China on replantation of severed limbs and digits, Clin Orthop, 215, pp. 15-23, (1987)
  • [4] Ferreira MC, Azze RJ, Marques E, Tedesco-Marchese AJ, Reimplante de dedos com microcirurgia vascular, Rev Ass Med Bras, 23, pp. 261-264, (1977)
  • [5] Ferreira MC, Zumiotti AV, pp. 331-337, (1985)
  • [6] Foucher G, Distal and very distal digital replantation, Textbook of Microsurgery, pp. 499-503, (1988)
  • [7] Zumiotti AV, Ferreira MC, Azze RJ, Reimplante de membros. Resultados imediatos e funcionais, Rev Bras Ortop, 19, pp. 137-142, (1984)
  • [8] Jones JM, Schenck RR, Chesney RB, Digital replantation and amputation‐comparison of function, J Hand Surg, 7, pp. 183-189, (1982)
  • [9] May JW, Toth BA, Gardner M, Digital replantation distal to the proximal interphalangeal joint, J Hand Surg, 7, pp. 161-166, (1981)
  • [10] Merle M, Dap F, Bour C, The microsurgical replantation of fingers excluding distal digital replantations, Textbook of Microsurgery, pp. 491-497, (1988)