Toe to hand transfer in children: ten year follow up of psychological aspects.

Autor: Bellew M; Department of Plastic, Reconstructive, and Hand Surgery, Leeds General Infirmary, Belmont Grove, Leeds, LS2 9NS, UK. maggie.bellew@leedsth.nhs.uk, Haworth J, Kay SP
Jazyk: angličtina
Zdroj: Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2011 Jun; Vol. 64 (6), pp. 766-75. Date of Electronic Publication: 2010 Nov 13.
DOI: 10.1016/j.bjps.2010.09.017
Abstrakt: Our previous study found positive psychosocial effects from hand reconstruction in children, by microsurgical toe transfer. The aim of the current study was to determine whether these are enduring at ten years or more postoperatively. Twenty-five patients with congenital (n=21) or post-traumatic (n=4) hand anomalies underwent transfer of either one or two toes. (Nineteen of the patients had taken part in the previous study while six had not.) All families had undergone preoperative counselling. Ten years or more after surgery, the patients and their parents underwent review to assess the long-term psychosocial outcome of the surgery. As in the previous study, a high level of satisfaction was reported, in terms of function, appearance, donor site, psychosocial well-being and the reactions of others. This was true regardless of the gender of the child. Patient and parent responses were more similar to each other than they had been in the earlier study. It was concluded that the positive effects of toe transfer surgery are enduring at long-term follow-up.
(Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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