Initial experience with hand replantation after traumatic amputation in a nonspecialized center (original) (raw)
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Replantation of an Amputated Hand- A Landmark surgery with Multidisciplinary Team Approach
Cardiovascular Journal
An amputation of the hand is a disastrous traumatic injury especially for advanced machinery workers which adversely affects the victim’s ability to earn a livelihood, support a family, and carry out daily activities. It also produces great psychological impact. In the following case report, we described a middleaged male with an amputation at the level of the distal forearm who underwent replantation. The transfer of the amputated hand, operative technique and postoperative status are described. Awareness of the possibility of salvage should be spread among healthcare providers and the need for immediate attention by a multispecialty team is advocated. This report reviews the literature related to the operative technique, contraindications and long-term results. Cardiovasc j 2022; 15(1): 106-110
Oman Medical journal, 2011
An amputation of the hand is a devastating injury. It adversely affects the victim's ability to earn a livelihood, support a family, and carry out daily activities. It has a great psychological impact. We report a middle aged male with an amputation at the level of the distal forearm who underwent replantation. The operative details of this case are described. Awareness of the possibility of salvage should be spread among healthcare personnel and the need for immediate attention by a multispeciality team is advocated. This report reviews the literature related to the operative technique, contraindications and long term results.
Treatment of Fingertip Injuries by Specialists in Hand Surgery in Brazil
Acta Ortopédica Brasileira
Objective: To verify if there is consensus about the treatment of each type of injury or amputation of the fingertips, and if there is a statistical difference among the treatment options according to the surgeon's length of time in the hand surgery specialty. Methods: A cross-sectional survey was conducted during the 37th Brazilian Congress of Hand Surgery, when one hundred and twenty questionnaires were randomly distributed. Observing the inclusion and exclusion criteria, ninety completed questionnaires were included. The answers were submitted to descriptive and inferential analysis with a significance level of p <0.05. Results: This study showed agreement of 63.3% for the treatment with statistical difference for dorsal oblique injury less than 1 cm with bone exposure for the VY advancement flap alternative; 46.7% for volar tip oblique injury with bone exposure less than 1 cm for the Cross Finger alternative; 47.8% for oblique thumb volar injury greater than 1 cm with no ...
Hand replantation: First experience in a sub-Saharan African country (Togo)
Indian Journal of Plastic Surgery, 2016
ABSTRACTFifty years after Chen has performed the first forearm replantation, we report our first case of hand replantation in a sub-Saharan African country. The etiology of the amputation was machete due to interpersonal violence. The amputation was trans-carpal, guillotine-type, subtotal non-viable maintained with a small skin bridge. The replantation procedure was successful. At one year follow-up, the functional result according to Chen's criteria was excellent. Through this first experience, we can state that hand replantation can be performed successfully both in survival and function in a non-specialized hospital of a sub-Saharan African country.
Primary amputation after trauma: profile of a hospital in the Mid-West of Brazil
2012
Background: We live in a period of epidemic of trauma. Amputation due to trauma affects a young and economically active population, with costly socioeconomic consequences, becoming a public health problem. Objective: To investigate the series of amputations performed at Santa Casa de Campo Grande Hospital between 2005 and 2008. Methods: Prevalence, descriptive, longitudinal and retrospective study. Convenience sampling was used to conduct a systematic review of medical records of patients undergoing lower and/or upper limb amputations whose diagnosis was trauma incompatible with reconstruction. Patients who arrived at the emergency department with amputated limbs were excluded from the study. We assessed the level of amputation, age, sex, and MESS score for amputation after trauma. The chi-square test and Fisher’s exact test were used considering a 95% confidence interval. Results: One hundred and eight amputations were performed in the period. Patients’ two to 78 years; mean age wa...
Late reconstruction of a traumatized hand with loss of multiple fingers
Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery, 2017
Reconstrução tardia na mão traumatizada com perda de múltiplos dedos Mutilating hand injuries are a challenge to both the hand surgeon and the patient. The surgeon must make decisions ranging from the initial debridement to which fingers and joints will be preserved and the appropriate use of the parts to be removed. Late reconstruction constitutes the second part of this difficult task. The difficulty attributed to the characteristics of each lesion, the large number of treatment possibilities, and the different levels of complexity must be adapted to the personal needs and motivation of each patient. This case report describes a late hand reconstruction with index and middle finger loss, using metacarpophalangeal joint transplantation of the index finger to gain the proximal interphalangeal function of the middle finger.
Critical analysis of upper limb replantations Análise crítica dos reimplantes no membro superior
Objective: The authors analyze the follow-up of results in 62 adult patients who had traumatic amputations in the upper limb and who underwent successful replantation procedures from 1994 to 2004. Methods: The levels of amputation were in fingers or thumb in 48, hand in 5, wrist in 4, forearm in 2 and arm in 3 patients. All patients were treated in a rehabilitation program of specialized hand therapy. A simplified questionnaire was used to evaluate the return to work activities using the operated limb, either in the formal or informal economy, and the patient's satisfaction rate concerning the surgical procedure. Results: It was noted that 85.5% of patients returned to some work activity using the operated limb and 96.8% of patients are satisfied with the results. Conclusions: Patients submitted to successful replantation present a high rate of satisfaction and return to work activities.