Cryostat Injury with Distal Finger Amputation Repaired Using a Composite Graft

2012 ◽  
Vol 38 (5) ◽  
pp. 803-806
Author(s):  
Marissa G. Bucci ◽  
Glenn D. Goldman
2021 ◽  
Vol 86 (1) ◽  
pp. 1-6
Author(s):  
Tomasz Dekert ◽  
◽  
Ireneusz Urbaniak

Microvascular replantation in not always feasible for distal finger amputations. Our work presents a case of 23-year-old woman who suffered an amputation of index finger at the level of nail base. She was disqualified from microvascular replantation, however, the cooperation with Replantation Service resulted in an uncommon method of treatment, which resulted in excellent functional and aesthetic outcome. Composite grafting for fingertip amputations is a unique procedure which enables preserving original tissue with its function. We consider composite grafting to be a valuable adjunct to the wide range of methods for treating distal finger amputiations.


Sigurnost ◽  
2017 ◽  
Vol 59 (1) ◽  
pp. 1-5
Author(s):  
Hamid Namizi ◽  
Hamideh Mahdaviazad ◽  
Amir Reza Vosoughi ◽  
Zeinab Kargar Shouroki
Keyword(s):  

SAŽETAK: Amputacija prsta čest je javnozdravstveni problem koji je moguće spriječiti. Studija definira epidemiologiju amputacije prsta kako bi se utvrdili najvažniji čimbenici i predložila strategija prevencije. Studija je provedena 2015. u glavnoj sveučilišnoj ortopedskoj bolnici u Shirazu. U studiju su bili uključeni svi bolesnici s bilo kojom vrstom amputacije prsta. Za svakog bolesnika je popunjen i analiziran upitnik s demografskim podacima i tipom ozljede. Sudjelovalo je 100 bolesnika (92 muškarca i 9 žena, prosječne dobi 32.5 ± 18 godina). Najveći broj bolesnika bili su mlađi muškarci. Više od polovice (53 slučaja) pretrpjeli su ozljede na radu u vezi s radom. Amputacija prsta zbog nagnječenja u vratima bila je drugi najčešći uzrok amputacije (18 %). Približno 59 % ozlijeđenih navelo je nepažnju pri radu kao uzrok nezgode. Amputacije prsta desne ruke bile su brojčano jednake amputacijama na lijevoj ruci. Najviše je bilo amputacija kažiprsta (27 %) i srednjeg prsta (2 %). Utvrđeno je da su mlađi, slabije obrazovani muškarci te početnici na poslu podložni najvećem riziku od amputacije prstiju, naročito ako imaju povijest zlouporabe droga. Hitno je potrebno provesti sljedeće učinkovite mjere: veći nadzor, više programa osposobljavanja, otkrivanje ovisnosti o drogama i korištenje sigurnijih strojeva.


Author(s):  
Germain Pomares ◽  
Henry Coudane ◽  
François Dap ◽  
Gilles Dautel

Author(s):  
Ravindra Bharathi ◽  
Praveen Bhardwaj ◽  
Vigneswaran Varadharajan ◽  
Hari Venkatramani ◽  
S Raja Sabapathy

AbstractReplantation of digital amputations is now the accepted standard of care. However, rarely will a replantation surgeon be presented with amputated fingers which have been previously replanted. In our literature search, we could find only one publication where a replanted thumb suffered amputation and was successfully replanted again. We report the technical challenges and the outcome of replanting two fingers which suffered amputation 40 months after the initial replantation and were successfully replanted again. Replantation was critical since the amputated fingers were the only two complete fingers in that hand which had initially suffered a four-finger amputation. The second-time replantation of previously replanted fingers is reported to allay the concern of the reconstructive surgeon when faced with this unique situation of “repeat amputation of the replanted finger.” Second-time replantation is feasible and is associated with high-patient satisfaction. Replantation must be attempted especially in the event of multiple digit amputations.


2013 ◽  
Vol 21 (4) ◽  
pp. 183 ◽  
Author(s):  
Mohammad Bagher Sharifkazemi ◽  
Ali Reza Moarref ◽  
Shahed Rezaian ◽  
Gholam Reza Rezaian
Keyword(s):  

1993 ◽  
Vol 18 (6) ◽  
pp. 781-782 ◽  
Author(s):  
C. M. JENSEN ◽  
M. HAUGEGAARD ◽  
S. W. RASMUSSEN

23 finger amputations in 19 patients operated on for Dupuytren’s disease were reviewed 6 months to 8.5 years after operation (mean 4 years). The distribution of amputations were 17 little fingers and six ring fingers. We found a recurrent lack of extension in nine out of 16 finger amputations distal to the MP joint and painful neuroma or phantom limb pain in five out of seven little finger amputations through or proximal to the MP joint. When amputation in the little finger is necessary, disarticulation of the MP joint may be preferable to amputation at a more distal level. Alternatives to finger amputation should be sought in difficult cases of Dupuytren’s disease.


2005 ◽  
Vol 13 (4) ◽  
pp. 357-360
Author(s):  
Hiroshi Izumoto ◽  
Kazuaki Ishihara ◽  
Tetsunori Kawase ◽  
Takayuki Nakajima ◽  
Hiroshi Satoh ◽  
...  

The aim of this study was to determine the most efficient design of composite grafts and clarify the technical feasibility rate of composite grafting using internal thoracic artery exclusively in patients undergoing triple-vessel revascularization. Retrospective analysis of 104 consecutive patients was carried out. An in situ left internal thoracic artery graft for the left anterior descending artery area, with attachment of the right internal thoracic artery to the side of the left internal thoracic artery to revascularize the circumflex and right coronary vessels, was the most efficient graft design. The technical feasibility rate was 80% (83/104 patients). The mean number of distal anastomoses for the entire group was 3.8 ± 0.8 per patient. Intraoperative left internal thoracic artery flow rate was 91.6 ± 37.8 mL·min−1. With more experience, it is thought that the technical feasibility rate could be increased.


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