Amputations of the fingers and hand: indications for replantation.
With hand and digital replantation now widely available in most urban settings, initial treating physicians must be aware of the factors that may influence outcome, so that informed decisions can be made regarding referral for replantation and appropriate early treatment. The author outlines the factors pertaining to amputations of the fingers and hand, provides general guidelines for indications for and contraindications to replantation, and discusses reported results.
Boulas
H J
HJ
Carus Healthcare, PA, Dallas, TX, USA.
D000367:Age Factors; D000368:Aged; D000673:Amputation, Traumatic / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D003080:Cold Temperature; D000075202:Contraindications; D003657:Decision Making; D005383:Finger Injuries / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000502:physiology; D006225:Hand / Q000098:blood supply / Q000502:physiology; D006230:Hand Injuries / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000503:physiopathology; D009048:Motor Skills / Q000502:physiology; D012017:Referral and Consultation; D012092:Replantation / Q000379:methods / Q000523:psychology; D012307:Risk Factors; D012677:Sensation / Q000502:physiology; D012959:Socioeconomic Factors; D013997:Time Factors; D014021:Tissue Preservation; D016896:Treatment Outcome