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Results of replantation in thumb amputations. New examination methods for evaluation of sensation

Results of replantation in thumb amputations. New examination methods for evaluation of sensation

Handchirurgie, Mikrochirurgie, Plastische Chirurgie 17(4): 234-237

Of 91 thumb amputation injuries which were treated over a five-year period at the Department of Traumatology, University School of Surgery Homburg/Saar, 56% could be subjected to a critical follow-up evaluation. The evaluation scheme of Millesi "Evaluation and Registration of Hand Function" programmed for electronic data processing forms the basis for the study. Besides the specified criteria for sensitivity testing, a further method for objective testing is presented. The principle of this method is point stimulation of pressure and mechanoreceptors after eliciting a threshold perceptible vibration stimulus of an 80 Hz sinusoidal oscillation the intensity of which can be directly measured as a yardstick for the stimulus response. Electronic processing of all results of the patients investigated shows that the injured hand can be used to almost 100% in 38%. In 16 patients (31%), there is a reduction by 5 to 20%. In ten cases (20%), the reduction was rated as over 20% compared to a healthy hand and in 11% (six patients), the overall result is to be designated as poor with more than 40% reduction of use.

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Accession: 041259741

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PMID: 4029770

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