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Defying Standard Criteria for Digital Replantation: A Case Series

dc.contributor.authorCasal, D
dc.contributor.authorGomez, MM
dc.contributor.authorAntunes, P
dc.contributor.authorCandeias, H
dc.contributor.authorAlmeida, MA
dc.date.accessioned2013-07-19T15:41:13Z
dc.date.available2013-07-19T15:41:13Z
dc.date.issued2013
dc.description.abstractINTRODUCTION: There is much controversy regarding the current indications and contraindications for digital replantation. PRESENTATION OF CASE: Three patients with absolute contraindications for digital replantation according to classical criteria are presented (Case 1: multilevel amputation of the hand and fingers; Case 3: avulsion of the thumb; Case 4: index amputation proximal to the insertion of the flexor digitorum superficialis). In addition a patient with a very distal digital amputation (Case 2), whose indication for replantation is controversial is also presented. In all cases, the patients were replanted and showed good functional and aesthetical results. DISCUSSION: Most authors advocate that the classical indications for replantation have been validated by experience, are predicated on the potential for long-term function, and should be followed in most if not all cases. However, some surgeons have been adopting a more liberal attitude with good results. CONCLUSION: The clinical cases presented in this paper suggest that the standard criteria for digital replantation should not be followed rigidly but instead should be regarded as a general guide.por
dc.identifier.citationInt J Surg Case Rep. 2013;4(7):597-602por
dc.identifier.urihttp://hdl.handle.net/10400.17/1373
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.subjectAmputationpor
dc.subjectTraumatic/classificationpor
dc.subjectFinger Injuries/surgerypor
dc.subjectFingers/surgerypor
dc.subjectGraft Survivalpor
dc.subjectOutcome Assessmentpor
dc.subjectReplantationpor
dc.titleDefying Standard Criteria for Digital Replantation: A Case Seriespor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage602por
oaire.citation.startPage597por
oaire.citation.titleInternational Journal of Surgery Case Reportspor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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