REPLANTATION OF THE THUMB OR REVISION OF AMPUTATION: AN EPIDEMIOLOGICAL STUDY.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2024-08-02 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243203e274165

Tiago Guedes da Motta Mattar, Caio Felipe Araujo Matalani, Henrique Brito Silveira, Arthur Kayano Sargaço, Mariana Miranda Nicolosi Pessa, Fernando Vicente de Pontes, Teng Hsiang Wei, Rames Mattar, Marcelo Rosa de Rezende

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引用次数: 0

Abstract

Objetive: This article presents a retrospective cohort study analyzing patients from IOT-FMUSP who underwent replantation or revision amputation procedures for traumatic thumb amputation between 2013 and 2020.

Methods: The study included 40 patients in the replanted group and 41 patients in the amputed group. The patients were divided according to the level of amputation and their medical records were analyzed.

Results: A total of 81 patients with digital amputation were analyzed, consisting of 79 males and 2 females, with mean ages of 43 and 49 for the amputed and replanted groups, respectively. According to the Biemer classification, 28.4% had proximal amputation, while 71.6% had distal amputation. The most common occupation was bricklayer (19.75%), and 80.24% were manual workers. Of the patients, 65% returned to their previous work, with 77.77% of them having amputation on their non-dominant hand, mostly caused by circular saw accidents (77.77%). The replantation success rate was 78%, with an average ischemia time of 9 hours and door-to-room time of 2 hours.

Conclusion: the study findings revealed that traumatic thumb amputation predominantly affects working-age males with a low education level and the success rate of replantation was high in this ischemia time and door-to-room conditions. Level of Evidence II, Retrospective study.

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拇指再植或截肢翻修：一项流行病学研究。

目的本文是一项回顾性队列研究，分析了2013年至2020年间因拇指外伤截肢而接受再植或翻修截肢手术的IOT-FMUSP患者：研究包括再植组 40 例患者和截肢组 41 例患者。根据截肢程度对患者进行分组，并对其病历进行分析：结果：共分析了 81 例数字截肢患者，其中男性 79 例，女性 2 例，截肢组和再植组的平均年龄分别为 43 岁和 49 岁。根据比默分类法，28.4%为近端截肢，71.6%为远端截肢。最常见的职业是砌砖工（19.75%），80.24%是体力劳动者。其中，65%的患者重返原来的工作岗位，77.77%的患者非惯用手截肢，主要是由圆锯意外造成的（77.77%）。再植成功率为78%，平均缺血时间为9小时，门到室时间为2小时。结论：研究结果显示，外伤性拇指截肢主要影响低教育水平的工作年龄男性，在这种缺血时间和门到室条件下，再植成功率较高。证据等级 II，回顾性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.