Secondary surgery after digit replantation: Its incidence and sequence
✍ Scribed by Huan Wang
- Book ID
- 102513859
- Publisher
- John Wiley and Sons
- Year
- 2002
- Tongue
- English
- Weight
- 74 KB
- Volume
- 22
- Category
- Article
- ISSN
- 0738-1085
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✦ Synopsis
Abstract
This article discusses the incidence and sequence of secondary procedures following digital replantation. In published series addressing this topic, the overall frequency of postreplantation surgery ranged from 2.9–93.2%. Tendon procedures accounted for 47.2% of cases, and comprised the leading type of secondary operations. Tendon procedures were followed by joint procedures (18.9%), skeletal stabilization (12%), skin coverage (11.4%), nerve reconstruction (8.9%), and late amputation (1.6%). The number of secondary procedures per patient averaged from 1–4.5, depending on prioritization of different procedures. The order of restoration procedures should be as follows: supple skin coverage, skeletal stability, and protective and proprioceptive sensation. Joint reconstruction follows these procedures, which in turn is followed by tendon reconstruction. © 2002 Wiley‐Liss, Inc. MICROSURGERY 22:57–61 2002