Our Experience with Revascularization and Replantation of Hand

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Author(s): Dr. Yusra Afzal, Dr. Shehab Beg, Dr. Sobia Yasmeen, Dr. Obaid ur Rahman

Pages: 63-67 |

Background: Hand is the main functional unit of body. An amputation is a sum of vascular injury, an open fracture, a soft tissue injury and a nerve injury. Reattachments of amputated parts can result in severe morbidity both during and after surgery. Replantation of a limb continues to be technically demanding procedure. We share our experience of revascularization and replantation of complete and partially amputated hands. Material and Methods: Two year retrospective study, which include patients with complete or incomplete amputation of hand. All patients underwent either revascularization or replantation surgery. Patient’s demographics, mode of injury, level of injury, ischemia time and survival were studied. Outcome was assessed on the bases of patients’ satisfaction. Results: We studied 16 cases, with amputation of hand. 5 patients had crush injury while 11 faced sharp injury.4 replantation and 12 revascularization surgeries were performed. The rate of survival was 62.5 %. Successful revascularizations were 66.6 % (8 of 12 patients) and replantations were 75% (3 of 4 patients). All the patients were satisfied with their results Conclusion: The majority of the included patients exhibited good or very good function of the extremity, none of the replanted appendages regained normal levels of functionality. All participants were very satisfied with their outcomes