KẾT QUẢ PHẪU THUẬT TRỒNG LẠI CỔ - BÀN TAY ĐỨT RỜI TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objective: To evaluate the outcomes of replantation surgery for amputated hands and identify factors influencing surgical success. Materials and Methods: This study involved 38 patients with complete wrist - hand amputation (zone IV, V - Biemer, E. classification) who underwent replantation between January 2020 and June 2024 at 108 Central Military Hospital. Results: Short-term Outcomes: Complete survival of the replanted amputated hand was achieved in 31 out of 38 patients (81.6%); with partial necrosis in 7 out of 38 patients (18.4%). The survival rate was 100% in patients with ischemia time under 6 hours (6/6), 88.5% for 6-12 hours (23/26), and 33.3% for over 12 hours (2/6). Proper preservation had a 91.2% survival rate (31/34), while improper preservation had 0% (0/4). The differences were statistically significant (p < 0.05). Long - term Outcomes (Pho R.W.H classification): Excellent in 10/31 patients (32.3%); good in 17/31 (54.8%); Poor in 4/31 (12.9%). Good hand function recovery was more common in patients with clean-cut injuries and consistent rehabilitation (p < 0.05). Conclusion: Hand replantation surgery achieves a high success rate and enables patients to restore hand function for performing daily activities.