jnl:yu2003secondary_procedures_following_digital_replantation_and_revascularisation
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| - | =====Secondary procedures following digital replantation and revascularisation===== | ||
| - | ====Abstract==== | ||
| - | In this retrospective study, 79 digits of 55 patients received 102 secondary procedures following replantation. We divided the procedures into two groups, occurring before or after 2 months following replantation. The procedures in the early group were mainly for soft tissue coverage (92%), and those in that late group were mainly for tendon (67%) to improve function. Factors associated with higher incidence of early secondary procedures included multiple-finger injury, avulsion or degloving injury and level of injury proximal to zone III in finger replantation ðp , 0:05Þ: However, younger patients and those with proximal level replantation in fingers had more late secondary procedures ðp , 0:05Þ: Flexor tenolysis procedure significantly improved the digital function after replantation ðp , 0:05Þ: q 2003 | ||
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| - | ====Commentary==== | ||
| - | ===Definition of secondary procedures=== | ||
| - | * describes exploration and revision of vascular anastomosis as secondary procedures | ||
| - | |||
| - | ===Classification=== | ||
| - | * Early < 2 months -- mainly soft tissue coverage | ||
| - | * Late > 2 months -- tendon | ||
| - | |||
| - | ===Numbers === | ||
| - | * 79 digits, 55 patients, 102 secondary procedures | ||
| - | * 32% had secondary procedures; range from 1-4 procedures: 1:22, 2: 21, 3: 10, 4: 2 | ||
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| - | ===When to do tenolysis after replantation? | ||
| - | * Yu advocates are 6 months | ||
| - | * quotes Jupiter 4-6 months | ||
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| - | ===Results of tenolysis after replantation=== | ||
| - | * Tamai score improve 67-84 | ||
| - | * no worse | ||
| - | * no digit loss | ||
| - | |||
| - | ====Source===== | ||
| - | Yu, J.-C., Shieh, S.-J., Lee, J.-W., Hsu, H.-Y., & Chiu, H.-Y. (2003). Secondary procedures following digital replantation and revascularisation. British Journal of Plastic Surgery, 56(2), 125–128. https:// | ||
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| - | ====See also==== | ||
| - | * [[md: | ||
| - | |||
| - | ===History==== | ||
| - | * 2020-07-13 created as .txt | ||
| - | * 2020-08-08 transcribed to dokuwiki and minor additions | ||
jnl/yu2003secondary_procedures_following_digital_replantation_and_revascularisation.1596856980.txt.gz · Last modified: 2020/08/08 03:23 by admin
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