KẾT QUẢ SỚM NỐI NGÓN TAY ĐỨT RỜI BẰNG KỸ THUẬT VI PHẪU

Abstract

characteristics of finger  amputation  and  to  evaluate  the early  outcome of microsurgical finger replantation. Material and method: The study was carried out at Viet Tiep Hospital (from 1/2021 – 1/2023) on 32 patients who was diagnosed only one finger amputation, were surgically   reattached   by microsurgery. A cross sectional descriptive cohort and prospective with follow – up early out come of the fingers after surgery. Result: 32  patients  with  32 severed  fingers were replanted with microsurgical technique,  including  24  male  and  8  female mainly in the working age group (84.4 %). There are many causes of injury, but the main cause is occupational accidents, accounting for 56.3%. Damage to finger II accounts for the highest rate with 9 patients as 28,1%. The majority were zone III lesions with 24 patients. Completely severed injuries are the main cause, accounting for 62.5%. Most fingers were preserved incorrectly or not preserved at all, with only 28.1% of cases being preserved properly. Average ischemic time was 6.59 ± 2.03 hours, no patient arrived late after 12 hours. 100% of fingers were successfully anastomosed during surgery. Early treatment results showed that 84.4% of fingers were successfully reattached, 6.3% of fingers were partially necrotic, and 9.4% of fingers were completely necrotic. Conclusion: Finger replantation surgery using microsurgical anastomosis is becoming the main choice in finger avulsions and this indication is expanding further thanks to the proficiency in microsurgical skills and the rapid development of finger amputation level of new generation microsurgical glasses.