This paper reports our experience of replantation of 31 digits. The operative technique and sequence of replantation is described. We have attempted to classify the functional results into three groups: near normal, useful and useless digits.
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Assessment of simulation training efficacy in improving microsurgical skills: a retrospective analysis.
Int J Surg
January 2025
Department of Orthopaedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Background: Microsurgery demands an intensive period of skill acquisition due to its inherent complexity. The development and implementation of innovative training methods are essential for enhancing microsurgical outcomes. This study aimed to evaluate the impact of a simulation training program on the clinical results of fingertip replantation surgeries.
View Article and Find Full Text PDFApplication of Orem's self-care model in postoperative rehabilitation of patients undergoing digit replantation.
Medicine (Baltimore)
January 2025
Department of Pain, Department of Hand Surgery, Wuhan Fourth Hospital, Wuhan, Hubei, China.
Article Synopsis
- The study focuses on digit replantation and evaluates the effectiveness of Orem's self-care model compared to conventional nursing methods.
- The research involved 389 patients, divided into an experimental group using Orem's model and a control group receiving standard care, with no significant differences in initial outcomes.
- Results showed that the experimental group demonstrated improved function, sensory recovery, and daily living abilities two and six months post-discharge, along with higher self-efficacy rates compared to the control group.
Use of nailfold capillaroscopy for the assessment of patients undergoing digit replantation and revascularization.
Jt Dis Relat Surg
January 2025
İnönü Üniversitesi Tıp Fakültesi Turgut Özal Tıp Merkezi, Ortopedi ve Travmatoloji Anabilim Dalı, 44280 Malatya, Türkiye.
Objectives: In this study, we aimed to evaluate microvascular changes using nailfold capillaroscopy in patients who underwent digit replantation and revascularization.
Patients And Methods: A total of 46 patients (34 males, 12 females; mean age: 45.8±17.
Case Report: Treatment of a complex hand disfigurement injury by fully shaped reconstruction of a severed finger combined with ectopic banking.
Front Surg
December 2024
Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China.
One of the primary challenges in hand microsurgical reconstruction lies in addressing severe hand injuries, particularly those involving multiple finger amputations, as autologous replantation might not fully restore hand functionality. In such scenarios, fully shaped reconstruction of a severed finger combined with Ectopic banking could yield superior reconstructive outcomes and enhance the amputated limb's function. This case report presents a unique approach that combines ectopic replantation of an amputated finger with interphalangeal reconstruction methods to restore both the form and function of the hand.
View Article and Find Full Text PDFTrends in Digit Replantation and Revision Amputation in the United States From 2009 to 2019.
J Hand Surg Glob Online
November 2024
Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA.
Purpose: Digit amputations can be managed either with replantation or revision amputation. The advent and refinement of microsurgical techniques allowed for the reliable success of replantation. Despite this, rates of digit replantation have been decreasing over the past several decades.
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