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Defying standard criteria for digital replantation

dc.contributor.authorCasal, Diogo
dc.contributor.authorGomez, Manuel Mac Emino
dc.contributor.authorAntunes, Paula
dc.contributor.authorCandeias, Henrique
dc.contributor.authorAlmeida, Maria Angélica
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblUniversity of Windsor
dc.date.accessioned2023-01-09T22:16:47Z
dc.date.available2023-01-09T22:16:47Z
dc.date.issued2013
dc.descriptionFunding Information: Diogo Casal (the first author of the paper) received a grant from “The Programme for Advanced Medical Education” sponsored by “ Fundação Calouste Gulbenkian, Fundação Champalimaud, Ministério da Saúde and Fundação para a Ciência e Tecnologia, Portugal .” Funding Information: Part of this work was funded by “The Programme for Advanced Medical Education” sponsored by “Fundação Calouste Gulbenkian, Fundação Champalimaud, Ministério da Saúde and Fundação para a Ciência e Tecnologia, Portugal.”
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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent6
dc.format.extent2302652
dc.identifier.doi10.1016/j.ijscr.2013.03.033
dc.identifier.issn2210-2612
dc.identifier.otherPURE: 49560632
dc.identifier.otherPURE UUID: 82640fd2-1e6f-48ba-aba0-e68b4974c91b
dc.identifier.otherScopus: 84877942777
dc.identifier.urihttp://hdl.handle.net/10362/147242
dc.identifier.urlhttps://www.scopus.com/pages/publications/84877942777
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAmputation
dc.subjectFinger injuries/surgery
dc.subjectFingers/surgery
dc.subjectGraft survival
dc.subjectHumans
dc.subjectOutcome assessment (health care)
dc.subjectReplantation/contraindications/methods
dc.subjectTraumatic/classification
dc.subjectSurgery
dc.titleDefying standard criteria for digital replantationen
dc.title.subtitleA case seriesen
dc.typejournal article
degois.publication.firstPage597
degois.publication.issue7
degois.publication.lastPage602
degois.publication.titleInternational Journal of Surgery Case Reports
degois.publication.volume4
dspace.entity.typePublication
rcaap.rightsopenAccess

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