Langzeitergebnisse nach Replantation von Extremitäten

Maurer, P.; Strobl, Sabine; Pflugbeil, G.; Sommoggy, S. von; Heider, P.; Gräf, P.

doi:10.1007/978-3-642-78145-2_195

Cited by 6 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, a significant increase in grade I results, a slight increase in the percentage of "functional extremities" and a significant decrease in grade III results were observed. In addition, there was no late reamputation in our series compared to data in the literature of about 5.8% [6] up to 78.9% [17].…”

Section: Replantationsupporting

confidence: 55%

See 1 more Smart Citation

Long-Term Results after Lower-Leg Replantation

et al. 2005

View full text Add to dashboard Cite

European Journal of Trauma Ab stractBackground: Although subtotal and total lower-leg amputation have been sucessfully replanted in the past, nowadays there is a common opinion that "these replantations do not justify their efforts, and therefore the patients should undergo primary amputation". Patients and Methods: In order to clarify this hypothesis, a retrospective clinical study of own cases operated on between 1981 -1998 and an extensive literature research we carried out. The following criteria were evaluated: (1) survival rate, (2) individual motor and sensory functions and global lower extremity function judged according to the classification of Chen et al., (3) socioeconomic aspects (operation time, number of operations per patient, time of hospitalization, return to normal life), (4) number and nature of local and/or systemic complications, and (5) subjective judgment by the patient. Results: All replanted lower legs in this series survied.Using the classification of Chen et al. the functional results can be given as follows: stage I 64.2%, stage II 28.5% (thus, a "functional extremity" could be reconstructed in 92.7%), stage III 7.1%, and stage IV 0%. Social reintegration was achieved within 8-10 months after replantation. Four to seven secondary operations were carried out in every patient in order to improve the result. Total duration of therapy was 28-48 months. There were no secondary reamputation. Conclusion: Using an algorithm developed by the authors, there is a significant decrease in replantation frequency on the one hand (30% of all tranferred cases in the own replantation center). However, on the other hand those cases replanted show better functional and aesthetic results and a significantly lower replantation risk. The results of this study as well as those of other large series show that lower-leg replantation is still worthwhile in a well-selected patient group, contrary to what is believed by an increasing number of orthopedic and trauma surgerons.

show abstract

Section: Replantationsupporting

confidence: 55%

“…Local infection may occur in 11-60% of cases [1,6]. The rate of delayed amputation varies between 0 in our personal series, 3.7% [1] to 5.8% [15], and up to 78.9% [17]. The incidence of foot deformities (pes equinocavus) is 38.4% to about 40% [8].…”

Section: Socioeconomic Aspectsmentioning

confidence: 99%

Long-Term Results after Lower-Leg Replantation

et al. 2005

View full text Add to dashboard Cite

show abstract

“…In addition there was no late reamputation in our series compared to data in the literature of about 5.8% 23 up to 78.9%. 61 …”

Section: Discussionmentioning

confidence: 97%

“…An ischemia time longer than 6 h, an extensive multiple level injury and a missing radical debridement are the most common reasons for failure. 61 …”

Section: Multidisciplinary Team Approachmentioning

confidence: 97%

“…9,12 The rate on delayed amputation varies between none in our personal series to 3.7% 9 to 5.8% 31 and up to 78.9%. 61 The incidence of foot deformities (pes equino-cavus) must be encounted in 38.4% to about 40% of cases. 31 Foot deformities are due to a musculo-tendinous imbalance caused by direct muscle and/or nerve injury.…”

Section: Number and Nature Of Local And/or Systemic Complicationsmentioning

confidence: 99%

See 1 more Smart Citation