PROGNOSTIC FACTORS ON SURVIVAL RATE OF FINGERS REPLANTATION
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19
Tipo de produção
article
Data de publicação
2015
Editora
ATHA COMUNICACAO & EDITORA
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Citação
ACTA ORTOPEDICA BRASILEIRA, v.23, n.1, p.16-18, 2015
Resumo
Objective: To evaluate the factors that influence the survival rate of replantation and revascularization of the thumb and/or fingers. Methods: We included fifty cases treated in our department from May 2012 to October 2013 with total or partial finger amputations, which had blood perfusion deficit and underwent vascular anastomosis. The parameters evaluated were: age, gender, comorbidities, trauma, time and type of ischemia, mechanism, the injured area, number of anastomosed vessels and use of vein grafts. The results were statistically analyzed and type I error value was set at p < 0.05. Results: Fifty four percent of the 50 performed replantation survived. Of 15 revascularizations performed, the survival rate was 93.3%. The only factor that affected the survival of the amputated limb was the necessity of venous anastomosis. Conclusion: We could not establish contraindications or absolute indications for the replantation and revascularization of finger amputations in this study.
Palavras-chave
Replantation, Finger injuries, Amputation, traumatic
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