| Autor: |
RAQUEL BERNARDELLI IAMAGUCHI, GUILHERME MOREIRA DIAS, FERNANDA DO CARMO IWASE, MARCELO ROSA DE REZENDE, RAMES MATTAR JR |
| Jazyk: |
English<br />Portuguese |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
Acta Ortopédica Brasileira, Vol 31, Iss 6 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
1413-7852 |
| DOI: |
10.1590/1413-785220233105e267476 |
| Popis: |
ABSTRACT We observe delayed referrals to appropriate Microsurgery Unit and definitive treatment of traumatic limb amputations. Cases with wrist proximal amputations have a deadline for surgical replantation as these configure life-threatening injuries. Objective: To analyze patients with traumatic proximal wrist upper limb amputations with prolonged ischemic time who underwent temporary artery catheterization to assess stump viability and results. Methods: A case-series study including all patients with a proximal wrist upper limb amputation and a cold ischemic time equal to or above six hours from 2017 to 2021. Results: In total, two surgeons operated eight patients who had experienced forearm amputation injuries. Median ischemia time totaled eight hours. All patients required additional surgeries, most commonly split-thickness skin graft or fixation revision (three patients). This study obtained five successful macroreimplantations. The mean cold ischemia time was longer in the group with successful macroreimplantations (7.4 hours) than of the unsuccessful group (9 hours). Conclusion: Macroreplantations require immediate referral to microsurgery and, although temporary artery catheterization helps surgical decision making, the technique seems to fail to influence outcomes. Level of Evidence IV, Retrospective Case Series. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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