Yeungnam Univ J Med.  1988 Jun;5(1):23-32. 10.12701/yujm.1988.5.1.23.

Clinical Evaluation of Microreplantation in the Digital Amputation

• Lee TH
• Woo SH
• Choi SH
• Seul JH

• KMID: 2376518
• DOI: http://doi.org/10.12701/yujm.1988.5.1.23

Abstract

Finger injuries are becoming more common with the increasing use of mechanical industrial and household appliances. Among the hand injuries, amputation is the serious disaster to the patient. Recently, application of microsurgical technique to the reattachment of amputated digits has been common clinical procedures. We performed microsurgical replantation to the 75 patients with 102 digits from March in 1986 to February in 1988. The following results were obtained. 1. The most common age distribution was third decade and male to female ratio was about 5:1. 2. The ratio of right to left hand was about 1:1 but the dominant to non-dominant hand was about 2:1. 3. The index finger was most commonly injured and the next was middle finger. 4. The most common type of the injuries was the crushing injury and the most common vector was a kind of pressor. 5. The anesthesia was performed in equal ratio between the general and regional anesthesia. 6. The survival rate of micro-replantation to the injuries of the zone II was 77.8% and zone III was 80%. 7. The functional result after replantation at zone II was better than zone III. 8. Micro-replantation was performed in any case of the type of the injury, the severity of crushing and the ischemic time, and the patients requirement was an important factor.

MeSH Terms

Age Distribution
Amputation*
Anesthesia
Anesthesia, Conduction
Disasters
Family Characteristics
Female
Finger Injuries
Fingers
Hand
Hand Injuries
Humans
Male
Replantation
Survival Rate