Composite grafting for distal digital amputation with respect to injury type and amputation level

Journal of Plastic Surgery and Hand Surgery
Tomoki KiuchiKazuo Kishi

Abstract

This study evaluated the composite graft survival rate in distal digital amputations with respect to injury type and amputation level. Twenty-seven patients with complete fingertip amputations (32 digits) distal to the distal interphalangeal joint who were treated by composite grafting from January 2010 to February 2012 were enrolled. Injury type was classified as clean-cut, blunt-cut, or crush-avulsion. Amputation level was classified according to Ishikawa's classification: subzones I-IV. Graft survival was categorised as complete, partial, or no survival. The graft was more likely to exhibit complete survival in clean-cut injuries (50%) than in blunt-cut (10%) or crush-avulsion injuries (12.5%). However, when complete and partial survival were combined, there was no significant difference among injury types (clean-cut = 83.3%, blunt-cut = 70.0%; crush-avulsion = 68.8%). Composite grafting in sub-zone I provided good results (complete survival = 50%; partial survival = 50.0%; no survival = 0%). When complete and partial survival were combined, there was no significant difference with respect to amputation level except sub-zone I (II = 70.6%; III = 66.7%; IV = 60%). In sub-zone II, clean-cut injuries exhibited better graft surv...Continue Reading

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Citations

Mar 5, 2020·Case Reports in Plastic Surgery & Hand Surgery·Atsuyoshi OsadaHiroyuki Sakurai
Oct 3, 2018·Plastic and Reconstructive Surgery. Global Open·Mimi R BorrelliAina Greig
Jan 4, 2020·International Journal of Surgery Protocols·Mimi R BorrelliAina Greig

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