title: Replantation or revascularisation injuries in children: incidence, epidemiology, and outcome.
abstract: We studied the epidemiology, incidence, and outcome among children and adolescents admitted for possible replantation or revascularisation of an injured upper extremity during the period 1998-2008. Twenty-nine patients with 38 finger injuries were admitted. Eight of the 29 had a severe amputation injury. The annual rate of all amputations in the referral area of 300,000 children was 0.42/100,000 children/year and total amputation injuries 0.18/100,000 children/year. Most injuries occurred in patients aged 12-15 years. The survival after total amputations was 6/14 and after subtotal amputations 13/15. Mean total active movement after replantation was 84° (n = 5) and after revascularisation 152° (n = 10). Four patients were re-examined in the outpatient department and nine answered a questionnaire. Cold intolerance was reported by most of the patients. Patients' satisfaction with outcome of treatment was good.
authors.affiliation: Department of Hand Surgery, Helsinki University Central Hospital, Helsinki University, Finland. nina.c.lindfors@hus.fi
authors.forename: Nina
authors.initials: N
authors.lastname: Lindfors
authors.forename: Ilkka
authors.initials: I
authors.lastname: Marttila
mesh_terms: D000062:Accidents, Occupational / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D000671:Amputation, Surgical / Q000706:statistics & numerical data; D000673:Amputation, Traumatic / Q000453:epidemiology / Q000601:surgery; D002648:Child; D005260:Female; D005387:Finland / Q000453:epidemiology; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000453:epidemiology* / Q000601:surgery*; D006801:Humans; D015994:Incidence; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D017060:Patient Satisfaction; D012092:Replantation / Q000706:statistics & numerical data*