Author/Editor		Janežič, Tomaž F; Arnež, Zoran M; Šolinc, Matjaž; Zaletel-Kragelj, Lijana
Title		Functional results of 46 thumb replantations and revascularisations
Type		članek
Source		Microsurgery
Vol. and No.		Letnik 17
Publication year		1996
Volume		str. 264-7
Language		eng
Abstract		The functional results of 46 patients with isolated thumb replantations and revascularisations were evaluated in the outpatient clinic. The modified system for evaluation of reattached parts proposed by Burton was used. The system for functional evaluation of hands consisted of three major fields: socioeconomic factors, objective assessment and subjective assessment. Certain potential factors which might have influenced the functional results were analysed using Kruskal-Wallis's and Wilcoxon's sum of ranks tests. Level of amputation (P<0.01) and mechanism of amputation (P<0.05) significantly influenced the functional results. Age of the patients and severity of amputation (total-subtotal) had no effect on the late results. Thirty-nine patients (85%) had the same employment as before injury. All the patients had economically suitable employment and 31 patients (67%) had the same manual work as before the injury. All but 8 patients experienced cold intolerance. Satisfaction with aesthetic appearance of injured hand differed between sexes: women not being pleased with the sight of their hands in 37% (3/8) and men in 8% (3/38). All patients but one would have the operation again.
Descriptors		THUMB REPLANTATION HAND STRENGTH RANGE OF MOTION, ARTICULAR AMPUTATION, TRAUMATIC TREATMENT OUTCOME