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Replantation in children

✍ Scribed by Mehmet Yildiz; Muhittin Sener; Celal Baki

Publisher: John Wiley and Sons
Year: 1998
Tongue: English
Weight: 207 KB
Volume: 18
Category: Article
ISSN: 0738-1085
DOI: 10.1002/(sici)1098-2752(1998)18:7<410::aid-micr4>3.0.co;2-2

No coin nor oath required. For personal study only.

✦ Synopsis

The rates of survival of the amputated part and the functional outcomes were studied retrospectively after 13 replantations and 12 revascularizations in 25 children. The ages of the patients ranged from 2 to 15 years (mean, 6.4 years). The average duration of follow-up was 4.2 years (range, 2 to 7 years). The survival rate was higher after revascularization (94.6%) than after replantation (84.6%). Sensory recovery of all digits was satisfactory. The mean growth rate of replanted digits relative to contralateral digits was 80%. Functional results were rated as excellent in 11 cases, good in 8 cases, moderate in 2 cases, and poor in 1 case. In order to prevent functional and growth disturbances and due to cosmetic reasons, replantation or revascularization should definitely be tried for children.

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