This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by ARAKAKI, A. Articles by TSAI, T. M. Search for Related Content PubMed PubMed Citation Articles by ARAKAKI, A. Articles by TSAI, T. M. Social Bookmarking                         What's this?

Thumb Replantation: Survival Factors and Re-Exploration in 122 Cases

From the Christine M. Kleinert Institute for Hand and Micro Surgery, Louisville, Kentucky, USA

Correspondence: Dr Tsu-Min Tsai, MD, Christine M. Kleinert Institute for Hand and Micro Surgery, 225 Abraham Flexner Way, Suite 850, Louisville, Kentucky 40202, USA

We analyzed 122 cases of replantation following complete amputation of the thumb and correlated various factors with rates of survival. The overall survival rate of thumb replantation was 71%. The type of amputation markedly affected survival rate. In minimally damaged amputations, the time period from injury to the start of surgery was the only significant factor related to survival. Other factors such as age, smoking history, amputation level, the number of vessels reconstructed and the method used did not relate statistically to survival. With avulsion amputations, the survival rate of replantation at and proximal to the MP joint was significantly better than replantation distal to the MP joint. 20 thumbs required re-exploration for vascular compromise; nine of these were salvaged (45%).

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 2, 152-156 (1993)
DOI: 10.1016/0266-7681(93)90094-V


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?