Salvage of Devascularized and Amputated Upper Extremity Digits with Temporary Ectopic Replantation: Our Clinical Series
One of the reasons for unsuccessful replantation is recipient site problems. In cases where proximal stump status cannot be predicted exactly, reamputation may be required depending on the result of infection and tissue necrosis. The ectopic banking method has been defined for this type of injury. I...
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Published in | Journal of investigative surgery Vol. 35; no. 7; pp. 1451 - 1461 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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Taylor & Francis
01.07.2022
Taylor & Francis Group |
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Abstract | One of the reasons for unsuccessful replantation is recipient site problems. In cases where proximal stump status cannot be predicted exactly, reamputation may be required depending on the result of infection and tissue necrosis. The ectopic banking method has been defined for this type of injury. In this study, we presented the amputated or devascularized upper extremity digit ectopic banking application results in our clinical practice.
Nineteen digits (17 patients) banking ectopically were included in the study. All digits ectopically banked in the forearm volar of the non-injured upper limb. Transfers were made after waiting for the appropriate time. Ectopic banking periods, postoperative complications, and other descriptive data were recorded. In the postoperative 6th month, the range of motion (ROM) values of the digits were measured and compared with the ROM values of the same digit on the non-injured extremity.Also, in the postoperative 6th month, a questionnaire with a score of 1-5 was conducted for cosmetic results.
The mean follow-up time was 13.6 months. The mean patient age was 39.5 years. The ectopic banking success rate is 94.1% (16/17). The orthotopic/heterotopic transfer success rate is 100% (17/17). Ectopic banking time is, on average, 19.2 days (min 5-max 55). Average cosmetic scale is 3.54.
We think that the results of our study will shed light on surgeons who make ectopic banking applications. |
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AbstractList | BACKGROUNDOne of the reasons for unsuccessful replantation is recipient site problems. In cases where proximal stump status cannot be predicted exactly, reamputation may be required depending on the result of infection and tissue necrosis. The ectopic banking method has been defined for this type of injury. In this study, we presented the amputated or devascularized upper extremity digit ectopic banking application results in our clinical practice. METHODSNineteen digits (17 patients) banking ectopically were included in the study. All digits ectopically banked in the forearm volar of the non-injured upper limb. Transfers were made after waiting for the appropriate time. Ectopic banking periods, postoperative complications, and other descriptive data were recorded. In the postoperative 6th month, the range of motion (ROM) values of the digits were measured and compared with the ROM values of the same digit on the non-injured extremity.Also, in the postoperative 6th month, a questionnaire with a score of 1-5 was conducted for cosmetic results. RESULTSThe mean follow-up time was 13.6 months. The mean patient age was 39.5 years. The ectopic banking success rate is 94.1% (16/17). The orthotopic/heterotopic transfer success rate is 100% (17/17). Ectopic banking time is, on average, 19.2 days (min 5-max 55). Average cosmetic scale is 3.54. CONCLUSIONSWe think that the results of our study will shed light on surgeons who make ectopic banking applications. Background One of the reasons for unsuccessful replantation is recipient site problems. In cases where proximal stump status cannot be predicted exactly, reamputation may be required depending on the result of infection and tissue necrosis. The ectopic banking method has been defined for this type of injury. In this study, we presented the amputated or devascularized upper extremity digit ectopic banking application results in our clinical practice. Methods Nineteen digits (17 patients) banking ectopically were included in the study. All digits ectopically banked in the forearm volar of the non-injured upper limb. Transfers were made after waiting for the appropriate time. Ectopic banking periods, postoperative complications, and other descriptive data were recorded. In the postoperative 6th month, the range of motion (ROM) values of the digits were measured and compared with the ROM values of the same digit on the non-injured extremity.Also, in the postoperative 6th month, a questionnaire with a score of 1–5 was conducted for cosmetic results. Results The mean follow-up time was 13.6 months. The mean patient age was 39.5 years. The ectopic banking success rate is 94.1% (16/17). The orthotopic/heterotopic transfer success rate is 100% (17/17). Ectopic banking time is, on average, 19.2 days (min 5–max 55). Average cosmetic scale is 3.54. Conclusions We think that the results of our study will shed light on surgeons who make ectopic banking applications. One of the reasons for unsuccessful replantation is recipient site problems. In cases where proximal stump status cannot be predicted exactly, reamputation may be required depending on the result of infection and tissue necrosis. The ectopic banking method has been defined for this type of injury. In this study, we presented the amputated or devascularized upper extremity digit ectopic banking application results in our clinical practice. Nineteen digits (17 patients) banking ectopically were included in the study. All digits ectopically banked in the forearm volar of the non-injured upper limb. Transfers were made after waiting for the appropriate time. Ectopic banking periods, postoperative complications, and other descriptive data were recorded. In the postoperative 6th month, the range of motion (ROM) values of the digits were measured and compared with the ROM values of the same digit on the non-injured extremity.Also, in the postoperative 6th month, a questionnaire with a score of 1-5 was conducted for cosmetic results. The mean follow-up time was 13.6 months. The mean patient age was 39.5 years. The ectopic banking success rate is 94.1% (16/17). The orthotopic/heterotopic transfer success rate is 100% (17/17). Ectopic banking time is, on average, 19.2 days (min 5-max 55). Average cosmetic scale is 3.54. We think that the results of our study will shed light on surgeons who make ectopic banking applications. |
Author | Tatar, Burak Ergün Keleş, Musa Kemal Kabakaş, Fatih Erçin, Burak Sercan Özçelik, Ismail Bülent Mensa, Berkan Cavadas, Pedro C. |
Author_xml | – sequence: 1 givenname: Burak Sercan orcidid: 0000-0003-3817-7760 surname: Erçin fullname: Erçin, Burak Sercan organization: Department of Plastic Surgery, Bahçeşehir University, VM Medicalpark Pendik Hospital – sequence: 2 givenname: Fatih orcidid: 0000-0002-2403-2387 surname: Kabakaş fullname: Kabakaş, Fatih organization: Department of Plastic and Hand Surgery, Medicalpark Gebze Hospital – sequence: 3 givenname: Burak Ergün orcidid: 0000-0002-5446-1940 surname: Tatar fullname: Tatar, Burak Ergün organization: Department of Plastic Surgery, University of Health Sciences, Bagcılar Training and Research Hospital – sequence: 4 givenname: Musa Kemal orcidid: 0000-0003-1915-079X surname: Keleş fullname: Keleş, Musa Kemal organization: Department of Plastic and Hand Surgery, Medicalpark Gebze Hospital – sequence: 5 givenname: Ismail Bülent orcidid: 0000-0002-3160-8110 surname: Özçelik fullname: Özçelik, Ismail Bülent organization: IST-EL Hand Surgery, Microsurgery and Rehabilitation Group, GOP Hospital – sequence: 6 givenname: Berkan orcidid: 0000-0003-1740-7571 surname: Mensa fullname: Mensa, Berkan organization: IST-EL Hand Surgery, Microsurgery and Rehabilitation Group, GOP Hospital – sequence: 7 givenname: Pedro C. orcidid: 0000-0002-2153-8630 surname: Cavadas fullname: Cavadas, Pedro C. organization: Department of Reconstructive Surgery, Clinica Cavadas |
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Snippet | One of the reasons for unsuccessful replantation is recipient site problems. In cases where proximal stump status cannot be predicted exactly, reamputation may... BACKGROUNDOne of the reasons for unsuccessful replantation is recipient site problems. In cases where proximal stump status cannot be predicted exactly,... Background One of the reasons for unsuccessful replantation is recipient site problems. In cases where proximal stump status cannot be predicted exactly,... |
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SubjectTerms | digit salvage Ectopic banking microsurgery replantation |
Title | Salvage of Devascularized and Amputated Upper Extremity Digits with Temporary Ectopic Replantation: Our Clinical Series |
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