title: [Clinical analysis on replantation of severed palm in 45 patients].
abstract: OBJECTIVE
  To explore methods and clinical outcomes of microsurgical technique in treating patients with severed palm.
  
  
  METHODS
  From January 2009 to December 2012,45 patients with severed palm were treated by replantation through microsurgical technique, included 37 males and 8 females, aged from 13 to 45 years old with an average of 25. Postoperative survival rate and evaluation standard of upper limb replantation function posposed by Chinese Medical Association were applied for evaluate clinical outcomes after operation.
  
  
  RESULTS
  Forty-five patients with severed plam were treated by replantation. Thirty-nine patients (121 fingers) were survived,and survival rate was 87%. All patients were followed up 3 to 15.5 months with an average of 11.5 months. According to evaluation standard of upper limb replantation function posposed by Chinese Medical Association, the total score was 80.27 +/- 1.93, and 27 cases got excellent results, 8 good and 4 poor.
  
  
  CONCLUSIONS
  The success of replantation of severed palm depends on grasping operation indication strictly, knowing complexity and local anatomic relationship, debridement completely during operation, making full use of remaining organization, arteriovenostomy through microsurgical technique as early as possible, constructing circulation and repairing injuried nerve rationally.
authors.forename: Fei-Hua
authors.initials: FH
authors.lastname: Yan
authors.forename: Jun
authors.initials: J
authors.lastname: Liao
authors.forename: Ping-Lian
authors.initials: PL
authors.lastname: Shan
authors.forename: Zhen-Feng
authors.initials: ZF
authors.lastname: Liu
authors.forename: Rui
authors.initials: R
authors.lastname: Fang
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006230:Hand Injuries / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012092:Replantation; D055815:Young Adult