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Date Published: 20/01/2023
Online Published: 23/02/2023
Abstract Views: 264
Views Full article: 122
DOI: https://doi.org/10.54804/yhthvb.5.2022.170
Issue
No. 5 (2022)
Section
Articles
How to Cite
Thai, G. T., & Dao, V. G. (2023). Assessment of the results of thumb replantation surgery using microsurgery techniques at Viet Duc University Hospital. Journal of Disaster Medicine and Burn Injuries, 5, 41-47. https://doi.org/10.54804/yhthvb.5.2022.170

Assessment of the results of thumb replantation surgery using microsurgery techniques at Viet Duc University Hospital

Thai Giap Trinh, Dao Van Giang

Main Article Content

Abstract

The target study was evaluated as the result of thumb replantation surgery by using the microsurgery technique at the Department of Maxillofacial, Plastic and Aesthetic Surgery at Viet Duc Hospital from September 2020 to August 2022.
The results showed that the survival rate of thumb amputation after replantation surgery by microsurgery technique was 100%, there were 2 cases of partial necrosis and no cases of total necrosis. Survival outcome of replanted thumb was related to lesion morphology (p = 0.002), proper preservation of severed thumb (p = 0.04). Patients with live thumb replantation had a significantly lower ischemic time than patients with partial necrosis of the skin margin (p = 0.02). 40% of patients recover the sensation of hot and cold to normal.
The results of measuring muscle strength showed that most of the patients reached the level of 75-100%. 40% of patients had good hand function recovery. Adequate rehabilitation exercises help to restore the motor function and restore the general function of the hand better (p < 0.05).

Article Details

Keywords

Microsurgery, thumb amputation, thumb replantation

References

1. Nguyễn Việt Tiến, Nguyễn Bắc Hùng (1998). Trồng lại bàn tay, ngón tay bằng kỹ thuật vi phẫu. Y học thực hành, 5 (348), 44-47.
2. Nguyễn Việt Tiến, Nguyễn Thế Hoàng, Lưu Hồng Hải (2003). Nối lại bàn tay, ngón tay bằng kỹ thuật vi phẫu - kinh nghiệm trong 9 năm. Y học Việt Nam, 292, 13-19.
3. Lê Văn Đoàn, Nguyễn Việt Tiến, Nguyễn Thế Hoàng (2011). Kết quả trồng lại 159 ngón tay cái đứt rời bằng kỹ thuật vi phẫu tại bệnh viên Trung ương Quân đội 108. Tạp chí nghiên cứu y học, 77, 77-83.
4. Biemer E. (1980) Definitions and classifications in replantation surgery. British Journal of Plastic Surgery, 33 (2), 164-168.
5. Strickland J. W. (1995) Flexor tendon injuries: I. Foundations of treatment. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 3 (1), 44-54.
6. Kapandji A. (1986) Clinical test of apposition and counter-apposition of the thumb. Annales de chirurgie de la main: organe officiel des societes de chirurgie de la main, 5 (1), 67-73.
7. Tamai S., Michon J., Tupper J., et al. (1983). Report of subcommittee on replantation. The Journal of hand surgery, 8 (5), 730-732.
8. Chung-Wei C., Yun-Qing Q., Zhong-Jia Y. (1978). Extremity replantation. World Journal of Surgery, 2 (4), 513-521.
9. Phan Đức Minh Mẫn (2000) Điều trị nối vi phẫu trong đứt lìa ngón tay cái, Luận văn tốt nghiệp chuyên khoa II, Đại học Y Dược TP Hồ Chí Minh.
10. Lê Văn Đoàn (2008). Kết quả trồng lại 314 chi thể bằng kỹ thuật vi phẫu tại bệnh viên Trung ương Quân đội 108 - kinh nghiệm 13 năm. Y học thực hành, 2, 45-50.
11. Sebastin S. J., Chung K. C. (2011) A systematic review of the outcomes of replantation of distal digital amputation. Plastic and Reconstructive Surgery, 128 (3), 723-737.
12. Sharma S., Lin S., Panozzo A., et al. (2005) Thumb replantation: a retrospective review of 103 cases. Annals of plastic surgery, 55 (4), 352-356.
13. Kaplan F. T. D., Raskin K. B. (2001). Indications and surgical techniques for digit replantation. Bulletin of the Hospital for Joint Diseases Orthopaedic Institute, 60 (3-4), 179-188.
14. Giardi D., Crosio A., Da Rold I.et al. (2020) Long-term clinical results of 33 thumb plantations: injury, 51, S71-S76.