Abstract

CAMPORRO FERNANDEZ, D. et al. Principles of evaluation and functional results in upper extremity replantation surgery. Cir. plást. iberolatinoam. [online]. 2012, vol.38, n.3, pp.247-256. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922012000300006.

The aim of this study was to evaluate functional and subjective outcome after upper limb replantation, with assessment or range of motions, grip strength, and additional functional tests. Forty-one patients, mean age 44.8 years old, with upper limb amputations were treated in our hospital with replantation between January 2005 and December 2009. Functional results were assessed by modified Mayo scoring system for thumb, fingers and hand amputations. Proximal amputations were evaluated according to the criteria of Chen. Subjective results were documented in all patients by Russell´s Questionnaire. Most of the injuries were caused by avulsion forces and 30 (74 %) were work related. The final survival rate was 85 % (35 patients); we include 2 patients who have had immediate foot transplantations. Using modified Mayo score system the outcome was good in thumb patients and fair in fingers and hand amputations. According to Chen´s criteria the result was excellent in 1 forearm amputation and fair in 2 patients. Nineteen patients had returned to work, their time-off work averaged was 10 months. Patient satisfaction was rated as better than expected and satisfactory in 27 patients. Outcomes of replantation must be better than revision amputation. Although functional outcomes were moderate, most of patients were able to use their hands to perform some work and daily living activities.

Keywords : Upper limb replantation; Upper limb amputation.

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