Replantation or revascularisation injuries in children: incidence, epidemiology, and outcome
Autor: | Ilkka Marttila, Nina Lindfors |
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Rok vydání: | 2012 |
Předmět: |
Male
medicine.medical_specialty Referral Adolescent medicine.medical_treatment Amputation Surgical Finger injury Amputation Traumatic Epidemiology Medicine Outpatient clinic Accidents Occupational Humans In patient Child Finland business.industry Incidence (epidemiology) Incidence Accidents Traffic Hand Injuries Length of Stay Surgery Amputation Patient Satisfaction Replantation Female business Follow-Up Studies |
Zdroj: | Journal of plastic surgery and hand surgery. 46(5) |
ISSN: | 2000-6764 |
Popis: | 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. |
Databáze: | OpenAIRE |
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