BAŞPARMAK AMPUTASYONLARINDA REPLANTASYON SONUÇLARININ VE REPLANTE EDİLEMEYEN OLGULARDA REKONSTRÜKSİYON SEÇENEKLERİNİN DEĞERLENDİRİLMESİ
Abstract
ÖZET
Amaç: Başparmak elin fonksiyonel kapasitesinin yaklaşık %50’sini içermesi nedeniyle diğer parmaklara kıyasla başparmağın konjenital veya edinsel yokluğunda elin pinç ve opozisyon gibi önemli fonksiyonları yerine getirilemediği için ciddi bir fonksiyon kaybı yaşanır. Başparmak rekonstrüksiyonunda seviyelerine göre tedavi algoritmaları değişmekte olup, bununla ilgili olarak kliniğimizde uygulanan rekonstrüksiyon seçeneklerinin irdelenmesi amaçlanmıştır.
Materyal ve Metod: Kliniğimizde 2010-2019 yılları arasında konjenital veya edinsel başparmak defekti olan 51 hasta retrospektif olarak incelendi. Hastalar demografik özellikleri, yaralanma şekli, yarlanma seviyesi, rekonstrüksiyon şekli ve komorbid hastalıklar yönünden değerlendirildi. Elde edilen bulgular tablo haline getirilerek analiz edildi.
Bulgular: Hastaların ortalama yaşı 42,6(82-4) idi. Kadın-erkek oranı 1/3,25(12:39) idi. Vakaların 49 tanesi (%96) edinsel(travmatik), 1 tanesi(%1,96) malignite, 1 tanesi de(%1,96) konjenital defekt olarak görüldü. Hastaların başparmak amputasyonları, 35’inda Zone1(Distal 1/3), 8’inde Zone 2(Orta 1/3),8’inde Zone 3(Proksimal 1/3) seviyesinden idi.
Sonuç: Hastanemizin içinde bulunduğu bölgede yoğun tarımsal faaliyet mevcuttur. Tarım aletleri ile yaralanmaların sıklığına bağlı olarak tüm seviyelerde parmak rekonstrüksiyonu tarafımızca yapılmaktadır. Başparmaktaki defektin anatomik ve klinik sınıflaması göz önünde bulundurulduğunda merkezimizde yapılan rekonstrüksiyonlar literatür ile genel olarak paralellik göstermekte olup komplikasyon oranları benzer görülmüştür.
Keywords
Supporting Institution
YOK.
References
- Referans1 Smitha Siram Segu, Swapna Nachiket Athavale, Peddi Manjunath,Osteoplastic Recostruction for posttraumatic thumb amputations around metacarpophalengeal joints, Journal of Clinical and Diagnostic Research. 2015 Aug, Vol-9(8): PC11-PC13
- Referans2 Heittman C,Levin S,Alternatives to thumb replantation,Plast. Recstr. Surg 110:1492,2002
- Referans3 Nelligan Plastic Surgery, 4th edition,Section II P303-304
- Referans4 Mitchell A. Pet, Jason H. Ko, Nicholas B. Vedder Reconstruction of the Traumatized Thumb, Plastic and Reconstructive Surgery ,December 2014
- Referans5 Muzaffar AR, Chao JJ, Friedrich JB, et al. Posttraumatic thumb reconstruction. Plast Reconstr Surg. 2005;116:103e–122e.
- Referans6 David J. Graham, Hari Venkatramani, S. Raja Sabapathy,Current recnstruction options for traumatic thumb loss, J Hand Surg Am. r Vol. 41, December 2016
- Referans7 Xu Zhang, Xinzhong Shao, Chunzhen Ren, Zhijie Zhang, Sumin Wen,Jianxin Sun Reconstruction of Thumb Pulp defect using modified kite flap, JHS _Vol 36A, October 2011
- Referans8 Mehmet Mutaf, Metin Temel, Ertan Günal, Dağhan Işık, Island Volar Advancement Flap for reconstruction of thumb defects, Annals of Plastic Surgery • Volume 68, Number 2, February 2012
- Referans9 Mitchell A. Pet, Jason H. Ko, Nicholas B. Vedder, Reconstruction of the Traumatized Thumb, Plastic and Reconstructive Surgery , December 2014
- Referans10 Neil F. Jones, James E. Clune, Thumb Amputations in Children: Classification and Reconstruction by Microsurgical Toe Transfers, J Hand Surg Am. 2018
- Referans11 T. Awada, S. Facca, P.A. Liverneaux, Successful thumb reconstruction after tumor resection by immediate toe transfer in a 67-year-old patient: Case report and literature review, Chirurgie de la main 31 (2012) 97–100
- Referans12 Edward C. Ray, Randy Sherman, Milan Stevanovic, Immediate Reconstruction of a Nonreplantable Thumb Amputation by Great Toe Transfer, Plastic and Reconstructive Surgery January 2009
- Referans13 Ignacio Roger de Oña, Andrea Garcia Villanueva, Alexis Studer de Oya, An Alternative Thumb Reconstruction by Double Microsurgical Transfer From the Great and Second Toe for a Carpometacarpal Amputation, J Hand Surg Am. Vol. 43, October 2018
- Referans14 Hiroshi Yajima, Yasunori Kobata, Kenji Kawamura, Koji Shigematsu, Kenji Kawate & Susumu Tamai(2004) Radial forearm flaps for reconstruction in hand surgery, Scandinavian
Abstract
References
- Referans1 Smitha Siram Segu, Swapna Nachiket Athavale, Peddi Manjunath,Osteoplastic Recostruction for posttraumatic thumb amputations around metacarpophalengeal joints, Journal of Clinical and Diagnostic Research. 2015 Aug, Vol-9(8): PC11-PC13
- Referans2 Heittman C,Levin S,Alternatives to thumb replantation,Plast. Recstr. Surg 110:1492,2002
- Referans3 Nelligan Plastic Surgery, 4th edition,Section II P303-304
- Referans4 Mitchell A. Pet, Jason H. Ko, Nicholas B. Vedder Reconstruction of the Traumatized Thumb, Plastic and Reconstructive Surgery ,December 2014
- Referans5 Muzaffar AR, Chao JJ, Friedrich JB, et al. Posttraumatic thumb reconstruction. Plast Reconstr Surg. 2005;116:103e–122e.
- Referans6 David J. Graham, Hari Venkatramani, S. Raja Sabapathy,Current recnstruction options for traumatic thumb loss, J Hand Surg Am. r Vol. 41, December 2016
- Referans7 Xu Zhang, Xinzhong Shao, Chunzhen Ren, Zhijie Zhang, Sumin Wen,Jianxin Sun Reconstruction of Thumb Pulp defect using modified kite flap, JHS _Vol 36A, October 2011
- Referans8 Mehmet Mutaf, Metin Temel, Ertan Günal, Dağhan Işık, Island Volar Advancement Flap for reconstruction of thumb defects, Annals of Plastic Surgery • Volume 68, Number 2, February 2012
- Referans9 Mitchell A. Pet, Jason H. Ko, Nicholas B. Vedder, Reconstruction of the Traumatized Thumb, Plastic and Reconstructive Surgery , December 2014
- Referans10 Neil F. Jones, James E. Clune, Thumb Amputations in Children: Classification and Reconstruction by Microsurgical Toe Transfers, J Hand Surg Am. 2018
- Referans11 T. Awada, S. Facca, P.A. Liverneaux, Successful thumb reconstruction after tumor resection by immediate toe transfer in a 67-year-old patient: Case report and literature review, Chirurgie de la main 31 (2012) 97–100
- Referans12 Edward C. Ray, Randy Sherman, Milan Stevanovic, Immediate Reconstruction of a Nonreplantable Thumb Amputation by Great Toe Transfer, Plastic and Reconstructive Surgery January 2009
- Referans13 Ignacio Roger de Oña, Andrea Garcia Villanueva, Alexis Studer de Oya, An Alternative Thumb Reconstruction by Double Microsurgical Transfer From the Great and Second Toe for a Carpometacarpal Amputation, J Hand Surg Am. Vol. 43, October 2018
- Referans14 Hiroshi Yajima, Yasunori Kobata, Kenji Kawamura, Koji Shigematsu, Kenji Kawate & Susumu Tamai(2004) Radial forearm flaps for reconstruction in hand surgery, Scandinavian
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Surgery |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | December 25, 2020 |
| Submission Date | October 20, 2020 |
| Acceptance Date | November 27, 2020 |
| Published in Issue | Year 2020 Volume: 27 Issue: 4 |
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.