Suspended Replantation in Complete Amputations of the Hand and Finger.
- Author:
Ho Jun CHEON
1
;
Hee Chan AHN
;
Kyeong Chul KIM
;
Sang Hyun WOO
Author Information
1. Kim & Woo's Institute for Hand Surgery & Reconstructive Microsurgery, W Hospital, Daegu, Korea. handwoo@hotmail.com
- Publication Type:Original Article
- Keywords:
Multiple digits amputation;
Delayed replantation
- MeSH:
Amputation;
Cold Ischemia;
Fingers;
Follow-Up Studies;
Hand;
Humans;
Intention;
Replantation;
Warm Ischemia
- From:Journal of the Korean Society for Surgery of the Hand
2011;16(1):9-17
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report the results of replantations which was intentionally delayed for a certain period of time in patients with an amputation of multiple digits, both hands or the single digit presented at night. MATERIALS AND METHODS: Two staged intentianlly delayed replantations were performed in twenty patients. Three patients had amputations of four or more fingers, two had bilateral hand amputations and fifteen had a single digit amputation. RESULTS: The mean warm ischemic time was 3 hours and 58 minutes. The mean cold ischemic time was 2 hours and 36 minutes for the first operation, and 15 hours and 13 minutes for the second operation. Twenty digits out of 28 digits (85%) survived completely. At the mean follow-up of months, functional results according to Chen's criteria were rated as excellent in six patients, good in eight, and fair in five. CONCLUSION: When the patients had multiple finger amputations, bilateral hand amputations or presented late at night, intentional delay of the replantation also provide satisfactory outcomes.
