[Functional value of the hand after digital replantation (author's transl)].
The absolute and relative indications and contraindications of fingerreplantation are exposed. The function of the replanted fingers depends on the level of amputation, the bone-joint and tendon lesions and the presence of protective sensibility. The range of joint movement of the replanted fingers is related to the amputation wound. The residual motion depends also on the level of amputation giving better results as the amputation is more distally situated. Limited range of movement in multiple amputations is not an obstacle to a useful grasp and pinch, which results in a more or less functional hand. The importance of sensory recovery in the use of replanted fingers is stressed. Assessment of the results is made upon the two-point discrimination rating, the range of motion of the fingers, the grip strength, and stereognosis, the absence of cold intolerance and return to employment.
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D002648:Child; D004954:Esthetics; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006225:Hand / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement; D012092:Replantation / Q000534:rehabilitation*; D012677:Sensation; D013236:Stereognosis
Digitale replantatie en handfunktie.