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Pediatric Finger Replantations: Retrospective Evaluation of 31 Cases

Year 2023, Volume: 2 Issue: 1, 26 - 29, 30.03.2023
https://doi.org/10.57221/izmirtip.1262299

Abstract

Aim: Traumatic amputations are rarely seen in the pediatric population and indicate absolute replantation most of the time. The aim of this study was to evaluate the epidemiology, complication and success of replantation surgery in pediatric patients. Material and methods: We retrospectively evaluated 31 patients younger than 18 years old who underwent finger replantation surgery for traumatic amputation in our clinic between January 2015 and January 2019. Results: The age of the 31 patients was between 2 and 17 years (mean: 10.5). 25 patients were male and 6 were female. Six patients had amputation of more than one finger, and 38 fingers were replanted. 22 of 38 fingers (57.8%) were successfully replanted, and 16 fingers (42.1%) were closed as stump. Conclusion: Every effort should made to maintain the size of the limb in order to prevent probable psychosocial and functional deficits in the future; even tough size of the limb in the pediatric population is generally small and the fact that the injuries are usually distal and crushed.

References

  • Referans1. Mohan R, Panthaki Z, Armstrong MB. Replantation in the pediatric hand. The Journal of Craniofacial Surgery. 2009;20:996-8.
  • Referans2. Jaeger SH, Tsai TM, Kleinert HE. Upper extremity replantation in children. The Orthopedic Clinics of North America. 1981;12:897-907.
  • Referans3. Borne A, Porter A, Recicar J, Maxson T, Montgomery C. Pediatric traumatic amputations in the united states: a 5-year review. J Pediatr Orthop. 2017;37:104-7. Referans4. Dautel G. Fingertip replantation in children. Hand Clinics. 2000;16:541-6.
  • Referans5. Lehrer MS, Bozentka DJ, Partington MT, Lee B, Osterman AL. Pediatric hand injuries due to exercise bicycles. J Trauma Acute Care Surg. 1997;43:100-2.
  • Referans6. Ikeda K, Yamauchi S, Hashimoto F, Tomita K, Yoshimura M. Digital replantation in children: a long term follow up study. Microsurgery. 1990;11:261-4.
  • Referans7. Beris AE, Soucacos PN, Malizos KN, Mitsionis GJ, Soucacos PK. Major limb replantation in children. Microsurgery. 1994;15:474-8. Referans8. Cheng GL, De Pan D, Zhang NP, Fang GR. Digital replantation in children: a long-term follow-up study. J Hand Surg Am. 1998;23:635-46.
  • Referans9. Lafosse T, Jehanno P, Fitoussi F. Complications and pitfalls after finger replantation in young children. J Hand Microsurg. 2018;10:74-8.
  • Referans10. Baker GL, Kleinert JM. Digit replantation in infants and young children: determinants of survival. Plast Reconstr Surg. 1994;94:139-45.
  • Referans11. Squitieri L, Reichert H, Kim HM, Steggerda J, Chung KC. Patterns of surgical care and health disparities of treating pediatric finger amputation injuries in the United States. J Am Coll Surg. 2011;213:475-85.

Pediatrik Parmak Replantasyonları: 31 Olgunun Retrospektif Değerlendirilmesi

Year 2023, Volume: 2 Issue: 1, 26 - 29, 30.03.2023
https://doi.org/10.57221/izmirtip.1262299

Abstract

Amaç: Travmatik amputasyonlar çocukluk çağında nadir görülmektedir ve çoğu zaman mutlak replantasyon gerektirmektedir. Bu çalışmada 18 yaş altında travmatik amputasyon sonrası replantasyon uygulanan hastaların epidemiyoloji, komplikasyon ve replantasyon başarısının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Bu çalışmada Ocak 2015 ile Ocak 2019 tarihleri arasında travmatik amputasyon sebebiyle parmak replantasyonu uygulanan 18 yaşından küçük 31 hasta retrospektif olarak incelenmiştir. Bulgular: Otuzbir hastanın yaşı iki ile 17 arasında idi (ortalama: 10,5). 25 hasta erkek, altı hasta kadın idi. . Altı hastada birden fazla parmakta amputasyon meydana gelmiştir ve 38 parmak replante edilmiştir. 38 parmağın 22’si (%57,8) başarılı bir şekilde replante edilirken, 16 parmakta (%42,1) güdük kapatılmıştır. Sonuç: Pediatrik dönemde uzuv boyutunun küçük olması, yaralanmaların genellikle distal seviyeden ve ezilme şeklinde olması replantasyon başarısının önündeki en büyük engeller olmasına rağmen; psikososyal ve fonksiyenel defisitleri önlemesi amacıyla uzuv boyutunun devamlılığı için her türlü çaba gösterilmedir.

References

  • Referans1. Mohan R, Panthaki Z, Armstrong MB. Replantation in the pediatric hand. The Journal of Craniofacial Surgery. 2009;20:996-8.
  • Referans2. Jaeger SH, Tsai TM, Kleinert HE. Upper extremity replantation in children. The Orthopedic Clinics of North America. 1981;12:897-907.
  • Referans3. Borne A, Porter A, Recicar J, Maxson T, Montgomery C. Pediatric traumatic amputations in the united states: a 5-year review. J Pediatr Orthop. 2017;37:104-7. Referans4. Dautel G. Fingertip replantation in children. Hand Clinics. 2000;16:541-6.
  • Referans5. Lehrer MS, Bozentka DJ, Partington MT, Lee B, Osterman AL. Pediatric hand injuries due to exercise bicycles. J Trauma Acute Care Surg. 1997;43:100-2.
  • Referans6. Ikeda K, Yamauchi S, Hashimoto F, Tomita K, Yoshimura M. Digital replantation in children: a long term follow up study. Microsurgery. 1990;11:261-4.
  • Referans7. Beris AE, Soucacos PN, Malizos KN, Mitsionis GJ, Soucacos PK. Major limb replantation in children. Microsurgery. 1994;15:474-8. Referans8. Cheng GL, De Pan D, Zhang NP, Fang GR. Digital replantation in children: a long-term follow-up study. J Hand Surg Am. 1998;23:635-46.
  • Referans9. Lafosse T, Jehanno P, Fitoussi F. Complications and pitfalls after finger replantation in young children. J Hand Microsurg. 2018;10:74-8.
  • Referans10. Baker GL, Kleinert JM. Digit replantation in infants and young children: determinants of survival. Plast Reconstr Surg. 1994;94:139-45.
  • Referans11. Squitieri L, Reichert H, Kim HM, Steggerda J, Chung KC. Patterns of surgical care and health disparities of treating pediatric finger amputation injuries in the United States. J Am Coll Surg. 2011;213:475-85.
There are 9 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Soysal Baş 0000-0002-4657-1613

Sabri Öztürk 0000-0001-6511-9609

Furkan Çeştepe 0000-0002-5332-8013

Ömer Faruk Dilek 0000-0001-9650-3806

Kamuran Zeynep Sevim 0000-0002-9625-6670

Publication Date March 30, 2023
Submission Date March 12, 2023
Published in Issue Year 2023 Volume: 2 Issue: 1

Cite

APA Baş, S., Öztürk, S., Çeştepe, F., Dilek, Ö. F., et al. (2023). Pediatric Finger Replantations: Retrospective Evaluation of 31 Cases. İzmir Tıp Fakültesi Dergisi, 2(1), 26-29. https://doi.org/10.57221/izmirtip.1262299
AMA Baş S, Öztürk S, Çeştepe F, Dilek ÖF, Sevim KZ. Pediatric Finger Replantations: Retrospective Evaluation of 31 Cases. Journal of Izmir Med. Faculty. March 2023;2(1):26-29. doi:10.57221/izmirtip.1262299
Chicago Baş, Soysal, Sabri Öztürk, Furkan Çeştepe, Ömer Faruk Dilek, and Kamuran Zeynep Sevim. “Pediatric Finger Replantations: Retrospective Evaluation of 31 Cases”. İzmir Tıp Fakültesi Dergisi 2, no. 1 (March 2023): 26-29. https://doi.org/10.57221/izmirtip.1262299.
EndNote Baş S, Öztürk S, Çeştepe F, Dilek ÖF, Sevim KZ (March 1, 2023) Pediatric Finger Replantations: Retrospective Evaluation of 31 Cases. İzmir Tıp Fakültesi Dergisi 2 1 26–29.
IEEE S. Baş, S. Öztürk, F. Çeştepe, Ö. F. Dilek, and K. Z. Sevim, “Pediatric Finger Replantations: Retrospective Evaluation of 31 Cases”, Journal of Izmir Med. Faculty, vol. 2, no. 1, pp. 26–29, 2023, doi: 10.57221/izmirtip.1262299.
ISNAD Baş, Soysal et al. “Pediatric Finger Replantations: Retrospective Evaluation of 31 Cases”. İzmir Tıp Fakültesi Dergisi 2/1 (March 2023), 26-29. https://doi.org/10.57221/izmirtip.1262299.
JAMA Baş S, Öztürk S, Çeştepe F, Dilek ÖF, Sevim KZ. Pediatric Finger Replantations: Retrospective Evaluation of 31 Cases. Journal of Izmir Med. Faculty. 2023;2:26–29.
MLA Baş, Soysal et al. “Pediatric Finger Replantations: Retrospective Evaluation of 31 Cases”. İzmir Tıp Fakültesi Dergisi, vol. 2, no. 1, 2023, pp. 26-29, doi:10.57221/izmirtip.1262299.
Vancouver Baş S, Öztürk S, Çeştepe F, Dilek ÖF, Sevim KZ. Pediatric Finger Replantations: Retrospective Evaluation of 31 Cases. Journal of Izmir Med. Faculty. 2023;2(1):26-9.