gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Article

Send article

Three-year (2014–2016) activity report of the Replantation Service for hand amputations in a Mid-European country

Meeting Abstract

Search Medline for

  • presenting/speaker Andrzej Zyluk - Pomeranian Medical University, Szczecin, Poland
  • Jerzy Jablecki - Department of General Surgery and Limb Replantation, Trzebnica, Poland
  • Anna Chrapusta - Department of Burns and Plastic Surgery, Krakow, Poland
  • Leszek Romanowski - Medical University, Poznan, Poland
  • Tomasz Mazurek - Medical University, Gdansk, Poland

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-443

doi: 10.3205/19ifssh0492, urn:nbn:de:0183-19ifssh04928

Published: February 6, 2020

© 2020 Zyluk et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: The paper summarises 32 months (January 2014 - August 2016) of activity of the Replantation Service for hand amputation in a Mid-European country.

Methods: Questionnaires were analysed received form 6 institutions, members of the National Replantation Service. Over the period of 32 months (January 2014 - August 2016)a total of 354 cases of amputations and other compex injuries to the hand were treated. There were 167 total (47%) and 142 subtotal (40%) amputations; 45 patients (13%) had other severe hand injuries. Vast majority of the patients constituted males aged a mean of 39 years. The most common injury was amputation of several digits in one patient, and thumb amputation - a total of 229 cases (65%), followed by transmetacarpal and wrist amputations - 92 (30%) and forearm/arm amputations - 33 cases (9%).

Results and Conclusions: Replantation of amputated extremity was performed in 141 patients (40%), revascularization in 145 (41%) and in 29 (8%) primary repair of the complex injuries. In 27 cases (8%), a covereage of the tissue defects, and in 12 (3%) primary terminalization was performed. Survival rate was of 78% for replantations and revascularizations. Comparing to the period 2010-2012,) an increase in number of trated patients (of n=64 cases), in number of amputations (of 96 cases) and in number of amputated digits (of 88 cases) were noted. The activity report shows importance of Replantation Service, an informal structure, in saving limbs of severely mutilated patients.