Replantation and revascularization of amputated upper limb appendages outcome and predicting the factors influencing the success rates of these procedures in a tertiary hospital: An 8-year retrospective, cross-sectional study
| Autor: | Noorzurani Robson, Salim Hh Albusaidi, Tunku Kamarul, Azura Mansor, Abdulrazzaq Mahmod Suhaeb, Ely Zarina Samsudin |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Microsurgery medicine.medical_specialty Time Factors Cross-sectional study medicine.medical_treatment 030230 surgery Revascularization Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine lcsh:Orthopedic surgery Amputation Traumatic Surveys and Questionnaires medicine Humans Retrospective Studies 030222 orthopedics business.industry Hand Injuries Common procedures Surgery lcsh:RD701-811 Cross-Sectional Studies medicine.anatomical_structure Amputated hand Amputation Replantation Upper limb Female business Vascular Surgical Procedures Follow-Up Studies |
| Zdroj: | Journal of Orthopaedic Surgery, Vol 26 (2018) |
| ISSN: | 2309-4990 |
| DOI: | 10.1177/2309499017749983 |
| Popis: | Purpose: Worldwide advances in microsurgery have made salvaging of amputated hand via replantation and revascularization common procedures. The present study examines the outcome of these procedures in a tertiary hospital in Malaysia. Methods: Patients with hand amputation who underwent replantation or revascularization from 2005 to 2012 were identified and reviewed for patient characteristics, amputation characteristics and survival rates. Successfully treated patients were interviewed to assess the functional outcome using Quick Disability of the Arm, Shoulder and Hand (Quick-DASH) questionnaire and Michigan Hand Outcome Questionnaire (MHQ). Statistical analysis was performed to evaluate outcome and elicit predictive factors. Results: Fifty-five patients were enrolled: 37 (67.3%) underwent replantation and 18 (32.7%) underwent revascularization. The overall success rate of 78% ( n = 43) was within the range of previously reported data (61.6% to 96.0%). Ischaemic time |
| Databáze: | OpenAIRE |
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