title: [Replantation and reconstruction vs terminalization in the treatment of amputation of the digits].
abstract: METHODS
  This study records the outcomes of the treatment of 21 patients, 19 men and two women, who sustained an amputation of the total of 35 digits (27 fingers and eight thumbs). Eleven patients received replantation or reconstruction maintaining the length of the digit, whereas ten had their digits terminalized.
  
  
  RESULTS
  The results were assessed at a mean of 5 years after injury. Patients with finger stumps had stronger grip than those with replanted digits (72% vs 48% of strength of the healthy hand). Hand function as assessed by quickDASH score (29 vs 33), quality of life as assessed by SF-36 score (63 vs 67) and number of patients experiencing cold sensitivity (7 vs 7) were similar in both groups. Patients after terminalization returned to work significantly earlier than those after replantation or reconstruction (6 vs 12 months).
  
  
  CONCLUSIONS
  These results show that - considering function of the hand - replantation or advanced reconstruction offers the patient less benefit than simple terminalization.
authors.forename: Pawel
authors.initials: P
authors.lastname: Dec
authors.forename: Kalina
authors.initials: K
authors.lastname: Bartosik
authors.forename: Joanna
authors.initials: J
authors.lastname: Chrachol
authors.forename: Piotr
authors.initials: P
authors.lastname: Puchalski
authors.forename: Andrzej
authors.initials: A
authors.lastname: Zyluk
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000706:statistics & numerical data*; D000673:Amputation, Traumatic / Q000523:psychology* / Q000601:surgery*; D005260:Female; D005383:Finger Injuries / Q000523:psychology* / Q000601:surgery*; D005385:Fingers / Q000503:physiopathology / Q000601:surgery; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D019651:Plastic Surgery Procedures; D012092:Replantation / Q000523:psychology / Q000706:statistics & numerical data*; D016896:Treatment Outcome