Long-term follow-up of hand function after digit replantation.
A long-term follow-up study of 26 patients with 28 replanted digits was performed with respect to circulatory, sensory, and motor function. Peripheral circulation in the replanted digits was comparable with corresponding uninjured digits on the opposite hand. Excellent sensory recovery was observed in the territories supplied by 30 of the 36 repaired digital nerves. Best functional results were noted with the thumb and with fingers amputated through the middle phalanx. By objective criteria, 21 of the 28 replanted digits demonstrated satisfactory function. Subjectively, however, only 1 patient was dissatisfied with the outcome.
Lebedev
L V
LV
Microsurgical Department, First Leningrad Medical Institute, Russia.
Bogomolov
M S
MS
Vavylov
V N
VN
Shlomin
V V
VV
Tokarevitch
K K
KK
Yurtaev
E A
EA
Gorbunov
G N
GN
Dadalov
M I
MI
D000328:Adult; D000673:Amputation, Traumatic / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005383:Finger Injuries / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D005385:Fingers / Q000503:physiopathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012039:Regional Blood Flow / Q000502:physiology; D012092:Replantation; D012677:Sensation / Q000502:physiology; D013933:Thumb / Q000293:injuries*; D013997:Time Factors