Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1373
Título: Defying Standard Criteria for Digital Replantation: A Case Series
Autor: Casal, D
Gomez, MM
Antunes, P
Candeias, H
Almeida, MA
Palavras-chave: Amputation
Traumatic/classification
Finger Injuries/surgery
Fingers/surgery
Graft Survival
Outcome Assessment
Replantation
Data: 2013
Editora: Elsevier
Citação: Int J Surg Case Rep. 2013;4(7):597-602
Resumo: INTRODUCTION: There is much controversy regarding the current indications and contraindications for digital replantation. PRESENTATION OF CASE: Three patients with absolute contraindications for digital replantation according to classical criteria are presented (Case 1: multilevel amputation of the hand and fingers; Case 3: avulsion of the thumb; Case 4: index amputation proximal to the insertion of the flexor digitorum superficialis). In addition a patient with a very distal digital amputation (Case 2), whose indication for replantation is controversial is also presented. In all cases, the patients were replanted and showed good functional and aesthetical results. DISCUSSION: Most authors advocate that the classical indications for replantation have been validated by experience, are predicated on the potential for long-term function, and should be followed in most if not all cases. However, some surgeons have been adopting a more liberal attitude with good results. CONCLUSION: The clinical cases presented in this paper suggest that the standard criteria for digital replantation should not be followed rigidly but instead should be regarded as a general guide.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1373
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