J Korean Soc Plast Reconstr Surg Search

CLOSE


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(5):644-649.
Published online September 1, 2010.
Replantation of Amputated Digits in Elderly Patients.
Soon Il Chung, Jin Soo Kim, Dong Chul Lee, Sae Hwi Ki, Si Young Roh, Jae Won Yang
Department of Plastic and Reconstructive Surgery, Kwangmyung Sung-Ae General Hospital, Gyeonggi-do, Korea. pskm@paran.com
Abstract
PURPOSE
As the mean life expectancy of people has been prolonged, and the elderly people who participate in the production activities has been increasing, it is expected that the demand on the replantation of amputated digits in elderly patients would increase. But, there are few studies about the replantation of amputated digits in elderly patients. Therefore, we report treatment outcomes of replantation of amputated digits in elderly patients. METHODS: From 1998 to 2008, the replantation was performed in 51 completely amputated digits of 33 patients aged 60 years or older. We performed the replantation in the usual manner. Under the brachial plexus block, the surgical procedures carried out in the following sequence: internal fixation using Kirschner wire, tenorrhaphy, arteriorrhaphy, neurorrhaphy and venorrhaphy. If the arterial ends could not be approximated without tension, a vein graft was performed.
RESULTS
Of a total of 51 digits, 46 digits (90%) survived. 13 patients (40%) had underlying medical problem preoperatively. But, in all the patients, there were no postoperative medical complications. As the postoperative surgical complications, excluding five cases of the total necrosis of digit, there were three cases of venous congestion, two cases of arterial insufficiency, seven cases of infection and 16 cases of partial necrosis.
CONCLUSION
Age alone does not affect the survival of replanted digits. Type of injury is the most important factor that affects the survival of replanted digits.
Keywords: Elderly; Traumatic amputation; Replantation
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 155 View
  • 0 Download

Replantation of Multi-level Amputated Digit.2011 September;38(5)

Reconstruction of Fingertip Amputation by Using Digital Artery Perforator Flap.2008 July;35(4)

Reconstruction of Wrist Defects with Free Flaps in High Tension Electrical Burn Patients.2001 September;28(5)

Microsurgical Replantation of the Amputated Ear without Venous Repair: Clinical Experience with Leech.2001 November;28(6)

Replantation of Nose Amputation by Use of Medical Leech.2005 January;32(1)



ABOUT
ARTICLE & SPECIALITY
Article category

Browse all articles >

Speciality

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-3472-8252    Fax: +82-2-3472-4254    E-mail: apsedit@gmail.com                

Copyright © 2019 by Korean Society of Plastic and Reconstructive Surgeons. All rights reserved.

Developed in M2community

Close layer
prev next