Naslov
Traumatic amputations and replantation of fingers and limbs in children

Autori
Vlahek, Tomislav ; Papeš, Dino ; Luetić, Tomislav ; Antabak, Anko ; Mijatović, Davor ; Bulić, Krešimir ; Smuđ Orehovec, Sanda ; Ćavar, Stanko ; Veir, Zoran ; Cvjetičanin, Bruno ; Dujmović, Anto ; Kunjko, Kristijan ; Fuchs, Nino ; Dalipi, Aida ; Sabolić, Ivana ; Pasini, Miram ; Jelčić, Ivan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
9th Croatian Congress of Pediatric Surgery with International Participation - Book of abstracts / - , 2022, 119-119

Skup
9th Croatian Congress of Pediatric Surgery with International Participation - Book of abstracts

Mjesto i datum
Pula, Hrvatska, 21.09.2022. - 24.09.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Nije recenziran

Ključne riječi
traumatic amputation ; finger ; limb ; replantation

Sažetak
The primary objective of this study was to present treatment results, efficiency of replantation and critical points which determine positive outcome of treatment This was an observational case series with retrospective data analysis of all children who were treated at the University Hospital Centre Zagreb in the last 10 years due to traumatic amputations. Amputation at the level of distal phalanx of the fingers were excluded from this study. 22 children were treated surgically. Out of those, 19 had amputation of one or more fingers, and 3 had amputation of extremity. In 5 patients, more than 1 finger or limb were simultaneously amputated. Regarding mechanism of injury, 8 were traumatized by the axe, 4 by the meat grinder, 4 by the lawnmower, 2 were injured in traffic accidents, 2 were injured by agriculture machine and 2 were injured by explosion. 15 of those were initially treated with replantation, and in 7 patients, only primary wound care and amputation could be done. In single finger injuries, 70% of replantation were successful, and in multiple amputation injuries, 58 % of replantation remained vital. Traumatic amputations in children are almost exclusively the result of using blades, axes and age inappropriate machines. Treatment of such injuries is possible only in a tertiary center, where surgeons must be educated and experienced in microsurgery and with a high-quality pediatric intensive care unit and rehabilitation. As amputation injuries almost always lead to incomplete recovery of function, it is necessary to focus on preventive action on children, but also on parents.

Izvorni jezik
Engleski

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