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Distal interfalangeal eklem ve distal falanks seviyesindeki replantasyon sonuçları

Year 2006, Volume: 40 Issue: 1, 62 - 66, 11.09.2006

Abstract

Amaç: Distal uç amputasyonlarında uygulanan replantasyonlar geriye dönük olarak değerlendirildi.
Çalışma planı: Distal interfalangeal eklem distal seviyesinde total amputasyon gelişen 82 hastanın (75 erkek, 7 kadın; ort. yaş 29; dağılım 10-52) 98 parmağına uygulanan replantasyonlar incelendi. Tamai sınıflamasına göre amputasyonların 58’i zon 1, 40’ı zon 2’de idi. Yetmiş yedi (%93.9) hasta digital blok anestezisi altında ameliyat edildi. Kemik fiksasyonunu takiben arter anastomozu ve mümkün olan olgularda ven anastomozu ve nörorafi yapıldı. Ven anastomozu yapılamayan veya anastomoz yapılmasına karşın venöz yetmezlik oluşan olgularda tırnak yatağına iğneyle açılan delikler üzerine heparinize gaz konarak iki saatte bir heparin uygulandı. Hastaların fonksiyonel durumu ve kozmetik açıdan memnuniyeti değerlendirildi. Ortalama takip süresi 16 aydı (dağılım 3-46 ay).
Sonuçlar: Altmış replantasyon (%61.2) başarılı, 38 replantasyon (%38.8) başarısız bulundu. Başarılı sonuç alınan olgularda, tırnağın ve parmak uzunluğunun korunması nedeniyle kozmetik olarak tatmin edici görünüm sağlandı; distal interfalangeal eklemi korunan olgularda fonksiyonel açıdan tatminkar sonuçlar alındı. Zon 1 amputasyonlardaki başarı oranının (%74.1) zon 2 amputasyonlara (%42.5) göre daha yüksek olduğu gözlendi.
Çıkarımlar: Distal uç replantasyonları, teknik zorluklara karşın görünüm ve fonksiyonel açıdan tatmin edici sonuçlar verebilmektedir.

The results of digital replantations at the level of the distal interphalangeal joint and the distal phalanx

Year 2006, Volume: 40 Issue: 1, 62 - 66, 11.09.2006

Abstract

Objectives: We retrospectively evaluated replantations performed for distal amputations.
Methods : The study included 82 patients (75 males, 7 females; mean age 29 years; range 10 to 52 years) who underwent replantations distal to the distal interphalangeal joint for a total of 98 amputations. According to the Ta m a i classification, there were 58 zone 1 and 40 zone 2 amputations. Local digital anesthesia was used in 77 patients (93.9%). Arterial anastomosis was accomplished after bone fixation, and venous anastomosis and nerve repair were performed whenever possible. When venous anastomosis was not possible or in case of venous insufficiency, venous decompression was performed with heparinized gauze placed on the bleeding nail matrix. Functional results and the degree of patients’ satisfaction with the cosmetic outcome were evaluated. The mean follow-up was 16 months (range 3 to 46 months).
Results: Replantation was successful in 60 a m p u t a t i o n s (61.2%) and unsuccessful in 38 cases (38.8%). In successful cases, cosmetic results were satisfactory due to the preservation of the nail and finger length. Functional results were satisfactory in cases in which the distal interphalangeal joint could be preserved. Replantations for zone 1 amputations (74.1%) yielded better results than those performed for zone 2 amputations (42.5%).
Conclusion: Despite technical difficulties, replantations for distal finger amputations can provide satisfactory functional and cosmetic results

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Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

İsmail Ozcelik This is me

Husrev Prisa This is me

İlker Sezer This is me

Berkan Mersa This is me

Atakan Aydin This is me

Publication Date September 11, 2006
Published in Issue Year 2006 Volume: 40 Issue: 1

Cite

APA Ozcelik, İ., Prisa, H., Sezer, İ., Mersa, B., et al. (2006). The results of digital replantations at the level of the distal interphalangeal joint and the distal phalanx. Acta Orthopaedica Et Traumatologica Turcica, 40(1), 62-66.
AMA Ozcelik İ, Prisa H, Sezer İ, Mersa B, Aydin A. The results of digital replantations at the level of the distal interphalangeal joint and the distal phalanx. Acta Orthopaedica et Traumatologica Turcica. September 2006;40(1):62-66.
Chicago Ozcelik, İsmail, Husrev Prisa, İlker Sezer, Berkan Mersa, and Atakan Aydin. “The Results of Digital Replantations at the Level of the Distal Interphalangeal Joint and the Distal Phalanx”. Acta Orthopaedica Et Traumatologica Turcica 40, no. 1 (September 2006): 62-66.
EndNote Ozcelik İ, Prisa H, Sezer İ, Mersa B, Aydin A (September 1, 2006) The results of digital replantations at the level of the distal interphalangeal joint and the distal phalanx. Acta Orthopaedica et Traumatologica Turcica 40 1 62–66.
IEEE İ. Ozcelik, H. Prisa, İ. Sezer, B. Mersa, and A. Aydin, “The results of digital replantations at the level of the distal interphalangeal joint and the distal phalanx”, Acta Orthopaedica et Traumatologica Turcica, vol. 40, no. 1, pp. 62–66, 2006.
ISNAD Ozcelik, İsmail et al. “The Results of Digital Replantations at the Level of the Distal Interphalangeal Joint and the Distal Phalanx”. Acta Orthopaedica et Traumatologica Turcica 40/1 (September 2006), 62-66.
JAMA Ozcelik İ, Prisa H, Sezer İ, Mersa B, Aydin A. The results of digital replantations at the level of the distal interphalangeal joint and the distal phalanx. Acta Orthopaedica et Traumatologica Turcica. 2006;40:62–66.
MLA Ozcelik, İsmail et al. “The Results of Digital Replantations at the Level of the Distal Interphalangeal Joint and the Distal Phalanx”. Acta Orthopaedica Et Traumatologica Turcica, vol. 40, no. 1, 2006, pp. 62-66.
Vancouver Ozcelik İ, Prisa H, Sezer İ, Mersa B, Aydin A. The results of digital replantations at the level of the distal interphalangeal joint and the distal phalanx. Acta Orthopaedica et Traumatologica Turcica. 2006;40(1):62-6.