Functional and subjective results of 20 thumb replantations
Summary The aim of this retrospective study was to analyse the results of 20 thumb replantations with special and exhaustive attention on functional outcomes. Twenty patients with traumatic thumb amputation were enrolled in the study. Range of motion, grip strength, sensory recovery, and subjective...
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| Veröffentlicht in: | Injury 2013-04, Vol.44 (4), p.504-507 |
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| creator | Ciclamini, Davide Tos, Pierluigi Magistroni, Ernesta Panero, Bernardino Titolo, Paolo Da Rold, Ilaria Battiston, Bruno |
| description | Summary The aim of this retrospective study was to analyse the results of 20 thumb replantations with special and exhaustive attention on functional outcomes. Twenty patients with traumatic thumb amputation were enrolled in the study. Range of motion, grip strength, sensory recovery, and subjective perception of overall hand function recovery were measured. The average age at the time of surgery was 35 years (range, 13–73 years). The mean follow-up was 3.25 years (range, 1.9–10.25 years). The long-term results of thumb replantation confirmed satisfactory outcomes in terms of general upper limb function, handgrip and pinch strength, and social and work reintegration. Sensory recovery remained unsatisfactory despite the fact that we did not need to perform any kind of revision surgery as a consequence of inadequate thumb sensibility. For the first time in the existing literature, no functional parameter that contributes to the assessment of the function of replanted thumbs has been excluded. We resume in the same study the analysis of all functional parameters that are useful to define results of thumb replantation. |
| doi_str_mv | 10.1016/j.injury.2012.11.009 |
| format | Article |
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Twenty patients with traumatic thumb amputation were enrolled in the study. Range of motion, grip strength, sensory recovery, and subjective perception of overall hand function recovery were measured. The average age at the time of surgery was 35 years (range, 13–73 years). The mean follow-up was 3.25 years (range, 1.9–10.25 years). The long-term results of thumb replantation confirmed satisfactory outcomes in terms of general upper limb function, handgrip and pinch strength, and social and work reintegration. Sensory recovery remained unsatisfactory despite the fact that we did not need to perform any kind of revision surgery as a consequence of inadequate thumb sensibility. For the first time in the existing literature, no functional parameter that contributes to the assessment of the function of replanted thumbs has been excluded. We resume in the same study the analysis of all functional parameters that are useful to define results of thumb replantation.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/j.injury.2012.11.009</identifier><identifier>PMID: 23265785</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Amputation ; Amputation, Traumatic - epidemiology ; Amputation, Traumatic - physiopathology ; Amputation, Traumatic - surgery ; Articular/physiology ; Disability Evaluation ; Female ; Finger Injuries - epidemiology ; Finger Injuries - physiopathology ; Finger Injuries - surgery ; Follow-Up Studies ; Hand Strength ; Hand strength/physiology ; Humans ; Italy - epidemiology ; Male ; Microsurgery ; Middle Aged ; Orthopedics ; Perception ; Range of motion ; Range of Motion, Articular ; Reconstructive Surgical Procedures - methods ; Recovery of Function ; Recovery of function/physiology ; Replantation ; Replantation - methods ; Retrospective Studies ; Sensation ; Thumb - injuries ; Thumb - physiopathology ; Thumb - surgery ; Time Factors ; Touch/physiology ; Traumatic/surgery ; Treatment Outcome</subject><ispartof>Injury, 2013-04, Vol.44 (4), p.504-507</ispartof><rights>Elsevier Ltd</rights><rights>2012 Elsevier Ltd</rights><rights>Copyright © 2012 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-414e61a3c01a98e9f9f2145dfa75b0d82a095cf0960232f1e84bce24830bafdc3</citedby><cites>FETCH-LOGICAL-c417t-414e61a3c01a98e9f9f2145dfa75b0d82a095cf0960232f1e84bce24830bafdc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.injury.2012.11.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23265785$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ciclamini, Davide</creatorcontrib><creatorcontrib>Tos, Pierluigi</creatorcontrib><creatorcontrib>Magistroni, Ernesta</creatorcontrib><creatorcontrib>Panero, Bernardino</creatorcontrib><creatorcontrib>Titolo, Paolo</creatorcontrib><creatorcontrib>Da Rold, Ilaria</creatorcontrib><creatorcontrib>Battiston, Bruno</creatorcontrib><title>Functional and subjective results of 20 thumb replantations</title><title>Injury</title><addtitle>Injury</addtitle><description>Summary The aim of this retrospective study was to analyse the results of 20 thumb replantations with special and exhaustive attention on functional outcomes. Twenty patients with traumatic thumb amputation were enrolled in the study. Range of motion, grip strength, sensory recovery, and subjective perception of overall hand function recovery were measured. The average age at the time of surgery was 35 years (range, 13–73 years). The mean follow-up was 3.25 years (range, 1.9–10.25 years). The long-term results of thumb replantation confirmed satisfactory outcomes in terms of general upper limb function, handgrip and pinch strength, and social and work reintegration. Sensory recovery remained unsatisfactory despite the fact that we did not need to perform any kind of revision surgery as a consequence of inadequate thumb sensibility. For the first time in the existing literature, no functional parameter that contributes to the assessment of the function of replanted thumbs has been excluded. We resume in the same study the analysis of all functional parameters that are useful to define results of thumb replantation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Amputation</subject><subject>Amputation, Traumatic - epidemiology</subject><subject>Amputation, Traumatic - physiopathology</subject><subject>Amputation, Traumatic - surgery</subject><subject>Articular/physiology</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Finger Injuries - epidemiology</subject><subject>Finger Injuries - physiopathology</subject><subject>Finger Injuries - surgery</subject><subject>Follow-Up Studies</subject><subject>Hand Strength</subject><subject>Hand strength/physiology</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Male</subject><subject>Microsurgery</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Perception</subject><subject>Range of motion</subject><subject>Range of Motion, Articular</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Recovery of Function</subject><subject>Recovery of function/physiology</subject><subject>Replantation</subject><subject>Replantation - methods</subject><subject>Retrospective Studies</subject><subject>Sensation</subject><subject>Thumb - injuries</subject><subject>Thumb - physiopathology</subject><subject>Thumb - surgery</subject><subject>Time Factors</subject><subject>Touch/physiology</subject><subject>Traumatic/surgery</subject><subject>Treatment Outcome</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtr3TAQhUVISW4e_6AUL7uxMyPJLwqFcmkeEOiizVrI8ojI9bVvJStw_31lbtJFN1kNDOfM4zuMfUQoELC6GQo3DdEfCg7IC8QCoD1hG2zqNgde1adsA8AhR9GIc3YRwgCANQhxxs654FVZN-WGfbmNk1ncPOkx01OfhdgNlBovlHkKcVxCNtuMQ7Y8x12XevtRT4teHeGKfbB6DHT9Wi_Z0-33X9v7_PHH3cP222NuJNZLLlFShVoYQN021NrWcpRlb3VddtA3XENbGgttBekui9TIzhCXjYBO296IS_b5OHfv5z-RwqJ2Lhga0yU0x6BQYC1BSiyTVB6lxs8heLJq791O-4NCUCs2NagjNrViU4gqYUu2T68bYrej_p_pjVMSfD0KKP354sirYBxNhnrnEy7Vz-69Df8PMKObnNHjbzpQGOboUwTpFxW4AvVzjW5NDjmAbEsQfwE4ypRy</recordid><startdate>20130401</startdate><enddate>20130401</enddate><creator>Ciclamini, Davide</creator><creator>Tos, Pierluigi</creator><creator>Magistroni, Ernesta</creator><creator>Panero, Bernardino</creator><creator>Titolo, Paolo</creator><creator>Da Rold, Ilaria</creator><creator>Battiston, Bruno</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130401</creationdate><title>Functional and subjective results of 20 thumb replantations</title><author>Ciclamini, Davide ; Tos, Pierluigi ; Magistroni, Ernesta ; Panero, Bernardino ; Titolo, Paolo ; Da Rold, Ilaria ; Battiston, Bruno</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-414e61a3c01a98e9f9f2145dfa75b0d82a095cf0960232f1e84bce24830bafdc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Amputation</topic><topic>Amputation, Traumatic - epidemiology</topic><topic>Amputation, Traumatic - physiopathology</topic><topic>Amputation, Traumatic - surgery</topic><topic>Articular/physiology</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Finger Injuries - epidemiology</topic><topic>Finger Injuries - physiopathology</topic><topic>Finger Injuries - surgery</topic><topic>Follow-Up Studies</topic><topic>Hand Strength</topic><topic>Hand strength/physiology</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Male</topic><topic>Microsurgery</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Perception</topic><topic>Range of motion</topic><topic>Range of Motion, Articular</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Recovery of Function</topic><topic>Recovery of function/physiology</topic><topic>Replantation</topic><topic>Replantation - methods</topic><topic>Retrospective Studies</topic><topic>Sensation</topic><topic>Thumb - injuries</topic><topic>Thumb - physiopathology</topic><topic>Thumb - surgery</topic><topic>Time Factors</topic><topic>Touch/physiology</topic><topic>Traumatic/surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ciclamini, Davide</creatorcontrib><creatorcontrib>Tos, Pierluigi</creatorcontrib><creatorcontrib>Magistroni, Ernesta</creatorcontrib><creatorcontrib>Panero, Bernardino</creatorcontrib><creatorcontrib>Titolo, Paolo</creatorcontrib><creatorcontrib>Da Rold, Ilaria</creatorcontrib><creatorcontrib>Battiston, Bruno</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ciclamini, Davide</au><au>Tos, Pierluigi</au><au>Magistroni, Ernesta</au><au>Panero, Bernardino</au><au>Titolo, Paolo</au><au>Da Rold, Ilaria</au><au>Battiston, Bruno</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional and subjective results of 20 thumb replantations</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>44</volume><issue>4</issue><spage>504</spage><epage>507</epage><pages>504-507</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><abstract>Summary The aim of this retrospective study was to analyse the results of 20 thumb replantations with special and exhaustive attention on functional outcomes. Twenty patients with traumatic thumb amputation were enrolled in the study. Range of motion, grip strength, sensory recovery, and subjective perception of overall hand function recovery were measured. The average age at the time of surgery was 35 years (range, 13–73 years). The mean follow-up was 3.25 years (range, 1.9–10.25 years). The long-term results of thumb replantation confirmed satisfactory outcomes in terms of general upper limb function, handgrip and pinch strength, and social and work reintegration. Sensory recovery remained unsatisfactory despite the fact that we did not need to perform any kind of revision surgery as a consequence of inadequate thumb sensibility. For the first time in the existing literature, no functional parameter that contributes to the assessment of the function of replanted thumbs has been excluded. We resume in the same study the analysis of all functional parameters that are useful to define results of thumb replantation.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>23265785</pmid><doi>10.1016/j.injury.2012.11.009</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Amputation Amputation, Traumatic - epidemiology Amputation, Traumatic - physiopathology Amputation, Traumatic - surgery Articular/physiology Disability Evaluation Female Finger Injuries - epidemiology Finger Injuries - physiopathology Finger Injuries - surgery Follow-Up Studies Hand Strength Hand strength/physiology Humans Italy - epidemiology Male Microsurgery Middle Aged Orthopedics Perception Range of motion Range of Motion, Articular Reconstructive Surgical Procedures - methods Recovery of Function Recovery of function/physiology Replantation Replantation - methods Retrospective Studies Sensation Thumb - injuries Thumb - physiopathology Thumb - surgery Time Factors Touch/physiology Traumatic/surgery Treatment Outcome |
| title | Functional and subjective results of 20 thumb replantations |
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