Document Detail


Incidence, epidemiology, and operative outcome of replantation or revascularisation of injury to the upper extremity.
MedLine Citation:
PMID:  20158426     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We retrospectively studied the epidemiology of adult patients admitted for possible replantation or revascularisation of an injured upper extremity during the period June 2003 to May 2008. A total of 121 patients were admitted (71 graded severe), mean 24 (14 graded severe), being admitted each year. The annual rate of amputation injuries in the referral area of 1.5 million was 1.5/100 000 and for severe amputation injuries 0.9/100 000. Most injuries occurred in patients aged 41-50. Fifty-eight patients had the accident during working hours (36 severe), and 62 during leisure time (34 severe). The survival rate for subtotal amputations was 77% and for total amputations 55%. Of 15 further vascularisation procedures, two succeeded at the metacarpal level. Most of the accidents occurred during wood-processing with circular saws or powered wood splitters. More efforts should focus on preventing such injuries.
Authors:
Nina Lindfors; Timo Raatikainen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi     Volume:  44     ISSN:  1651-2073     ISO Abbreviation:  Scand J Plast Reconstr Surg Hand Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-04-06     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8707869     Medline TA:  Scand J Plast Reconstr Surg Hand Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  44-9     Citation Subset:  IM    
Affiliation:
Department of Hand and Orthopaedic Surgery, Helsinki University Central Hospital, Helsinki University, Helsinki, Finland. nina.c.lindfors@hus.fi
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MeSH Terms
Descriptor/Qualifier:
Accidents / statistics & numerical data
Adolescent
Adult
Age Distribution
Aged
Aged, 80 and over
Amputation, Traumatic / epidemiology,  surgery
Arteries / surgery
Female
Finland / epidemiology
Humans
Incidence
Injury Severity Score
Male
Microsurgery
Middle Aged
Patient Admission / statistics & numerical data
Reoperation
Replantation / statistics & numerical data*
Retrospective Studies
Treatment Outcome
Upper Extremity / blood supply,  injuries*,  surgery*
Veins / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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