Replantation of the total skin-only avulsions of fingers

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dc.authorid0000-0002-8587-1125
dc.contributor.authorMersa, Berkan
dc.contributor.authorÖzçelik, İsmail Bülent
dc.contributor.authorYıldıran, Gökçe
dc.contributor.authorAkel, İbrahim
dc.contributor.authorKabakaş, Fatih
dc.date.accessioned2020-03-26T20:19:14Z
dc.date.available2020-03-26T20:19:14Z
dc.date.issued2020
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground Skin-only avulsion is a particular type of avulsion surgery. In this type of injury, tendons, bones, and joints maintain their integrity. In this report, we aimed to report the promising results of replantation in seven fingers with total skin-only avulsions. Methods From 2007 to 2015, 6 patients with a mean age of 34.6 (20-52) who underwent replantation surgery for total skin-only avulsion injuries distal to metacarpophalangeal (MP) joint were evaluated according to the injury type, etiology, level of repair, and the repaired structures. Results Seven fingers of 6 patients were evaluated. The mean repaired artery and vein number were 1.5 (1-2) and 3.8 (3-5), respectively. The mean percentage of partial necrosis in the three fingers and an amputated finger was 25.70%. Three fingers survived completely, whereas three developed partial necrosis which were managed by debridement and full thickness skin grafting. Mean static and dynamic two-point discriminations were 6 mm and 3.83 mm, respectively. The mean ROM degree of PIP/IP joints and DIP joints was 74.1 (60-85) and 56.6 (40-70) degrees, respectively. The mean follow-up was 28.3 months (24-36). Conclusions Skin-only avulsions are a particular type of avulsion injury and very challenging to treat. In order to avoid from the partial necrosis due to the vascular deprivation of perforating branches of the proper digital artery, we recommend repairing both arteries in this type of avulsion. Skin-only replantation results can be successful when several technical details are observed. Level of evidence: Level V, therapeutic study.en_US
dc.identifier.citationMersa, B., Ozcelik, I. B., Yildiran, G., Akel, I., Kabakas, F. (2020). Replantation of the Total Skin-Only Avulsions of Fingers. European Journal of Plastic Surgery, 43(5), 597-604.
dc.identifier.doi10.1007/s00238-020-01636-wen_US
dc.identifier.endpage604
dc.identifier.issn0930-343Xen_US
dc.identifier.issn1435-0130en_US
dc.identifier.issue5
dc.identifier.pmid#YOKen_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage597
dc.identifier.urihttps://dx.doi.org/10.1007/s00238-020-01636-w
dc.identifier.urihttps://hdl.handle.net/20.500.12395/38164
dc.identifier.volume43
dc.identifier.wosWOS:000516800700001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorYildiran, Gokce.
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofEUROPEAN JOURNAL OF PLASTIC SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAmputationen_US
dc.subjectAvulsionen_US
dc.subjectReplantationen_US
dc.subjectSkin-onlyen_US
dc.titleReplantation of the total skin-only avulsions of fingersen_US
dc.typeArticleen_US

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