Distal digital replantations and revascularizations. 237 digits in 192 patients.
Since January 1990, 237 replantations or revascularizations have been attempted in 192 patients with distal traumatic amputations of the digits. The amputations were complete in 182 digits and incomplete in 55 digits. Sixty-three amputations were in zone I and 174 in zone II (Tamai's classification). The overall success rate was 91%. Twelve digits failed in zone I and ten in zone II. We conclude that zone I and zone II replantation or revascularization is quick and worthwhile, providing acceptable sensation, appearance and near-normal function.
Patradul
A
A
Department of Orthopaedic Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Ngarmukos
C
C
Parkpian
V
V
D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000145:classification / Q000601:surgery*; D000714:Anastomosis, Surgical; D001158:Arteries / Q000601:surgery; D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D004954:Esthetics; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005384:Finger Joint / Q000502:physiology / Q000601:surgery; D005385:Fingers / Q000098:blood supply / Q000294:innervation / Q000502:physiology / Q000601:surgery; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009412:Nerve Fibers / Q000473:pathology; D012092:Replantation / Q000379:methods*; D012677:Sensation / Q000502:physiology; D016896:Treatment Outcome; D014680:Veins / Q000601:surgery