Replantation and revascularization of hands: Clinical analysis and functional results of 261 cases

Tark, Kwan Chul; Kim, Yang Woo; Lee, Young Ho; Lew, Joon

doi:10.1016/0363-5023(89)90054-3

Cited by 112 publications

(63 citation statements)

References 23 publications

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“…This analysis of 182 cases clearly showed, already 20 years ago, that, with regard to the level of amputation, by far the most rewarding results could be achieved after replantation at the level of the distal forearm or wrist (3,14,23). These results are shown in Table 1.…”

Section: Results Of Major Upper Extremity Replantationsupporting

confidence: 58%

Upper Extremity Replantation – A Review

Meyer

2003

Eur Surg

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Summary: Background: In the early 1970s, replantation surgery became an important addition to the armamentarium of reconstructive surgery. In view of the heavy institutional commitment, it became quickly obvious that this type of advanced surgery cannot be performed in all places as occasional surgery. Methods: This article provides a review of the evolution of upper extremity replantation over the past 20 years with regard to indications, basic surgical techniques, and final results. Results: Thirty-eight major upper extremity replantations have recently been analysed and compared with 182 replantations performed 20 years ago, using the same data and the same format in both series. No significant differences could be found between these two groups. Analysing this 20-year period, one finds that few changes took place. The only major change that could be ascertained was a significant decrease in the number of replantations in Switzerland due to improved safety measures for working with dangerous machines. Most probably this is true in general for all highly industrialized countries. Conclusions: Replantation of the upper extremity is a wellestablished method in the treatment of amputation injuries that has a substantial socioeconomic impact. These replantation procedures are very demanding: special skills and experience of the surgical team is the basis for excellent long-term functional results. (Eur. Surg. 2003; 35:167-173) Replantation der oberen Extremität -Eine Übersicht

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Section: Results Of Major Upper Extremity Replantationsupporting

confidence: 58%

Upper Extremity Replantation – A Review

Meyer

2003

Eur Surg

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“…Although not limited to thumbs, Tark et al 31 reviewed 261 replantations and revascularizations. He concluded that sensibility was significantly better in sharp amputations and that return of sensation correlated with repair of two digital arteries rather than one.…”

Section: Discussionmentioning

confidence: 98%

Great toe transplant versus thumb replant for isolated thumb amputation: Critical analysis of functional outcome

Rosson

Buncke²,

Buncke³

2008

Microsurgery

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“…[21][22][23] We found that, on the contrary, no significant relationship between sensory return and the level of amputation, which was reported likewise in few studies. 6,24 The mean follow up was long enough, as postulated for studies of sensory recovery. 19 In comparision to thumb reconstruction procedures, the static twopoint discrimination in pollicization is mainly up to 10 mm, the results in toe-to-hand transfer below with mainly 10-20 mm or without any two-point discrimination.…”

Section: Sensibilitymentioning

confidence: 99%

Long-term functional and subjective results of thumb replantation

et al. 2006

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The aim of this follow-up study was to evaluate the functional and subjective results after thumb replantation. Twenty-four patients with replantation of the thumb, performed during the period 1992-1997, were reexamined after 6.5 years (range, 4.2-9.1 years post-injury). In 10 cases the amputations were isolated, 14 amputations were combined with other injuries of the hand, 15 amputations resulted from crush/avulsion injuries, and 9 amputations were sharp. Range of motion, grip strength, cutaneous sensibility, and upper-extremity functioning using the DASH questionnaire were determined. A correlation analysis with important variables was performed. Average range-of-motion in the metacarpophalangeal joint was 44 degrees (+/-24.2) and in the interphalangeal joint was 12 degrees (+/-8.4). Grip-strength of the injured hand was 70% (+/-31.4) and pinch strength was 68% (+/-28.7) in comparison to the non-injured hand. DASH-scores correlated with grip-strength, pinch-strength, and cutaneous sensation but no correlation was found between DASH and the level of amputation. Functional results were independent of amputation levels and patient age. Although the results of cutaneous sensibility were only moderate, patients were able to use their thumb to perform work and daily living activities. The majority of patients had returned to their previous occupation.

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Replantation and revascularization of hands: Clinical analysis and functional results of 261 cases

Cited by 112 publications

References 23 publications

Upper Extremity Replantation – A Review

Upper Extremity Replantation – A Review

Great toe transplant versus thumb replant for isolated thumb amputation: Critical analysis of functional outcome

Long-term functional and subjective results of thumb replantation

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