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KMID : 0358819870140020219
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1987 Volume.14 No. 2 p.219 ~ p.232
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ANALYSIS OF 261 CASES OF HEAD REPLANTATION ＆ITS LATE FUNCTIONAL RESULTS
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Tark Kwan-Chul
Kim Yang-Woo
Lee Young-Ho
You Jae-Duk
Oh Suk-Jun
Lee Sae-Il
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Abstract
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During the last 4 years, 261 cases of hand or finger replantations were carried out in 153 patients with a 82% overall success rate.
We modified already established micro-vascular anastomosis techniques and applied tham to all our cases.
High success rates were noted in the Guillotine type or local crushing type injuries, index or middle finger amputations and amputations involving zone IV or VI.
Replantations of hypothermically preserved amputation parts also showed a high success rate but the ischemia time did not have a direct influence on the survival rate.
Sensory functional recoveries were fully satisfactory in injuries involving zone Ⅱ, Ⅲ or Ⅳ within 1 year post-operatively and was directly related to the ischemia time or the nature of injury.
In the majority of replantations of the Guillotine or local crushing type injuries involving zone Ⅲ or Ⅳ, the motor functional recoveries were good to excellent about 1 year after replantation.
We also confirmed that the more proximal level of amputation, the higher survival rate, but with poor functional results.
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KEYWORD
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