การผ่าตัดต่อนิ้วมือในโรงพยาบาลโพธาราม

บทคัดย่อ

During November 1996 and January 1999, replantation of finger was done for 12 patients, 17 fingers, age range from 2 to 63 years old. There were 4 cases, 4 fingers of complete amputation and 8 cases, 13 fingers of incomplete amputation.

Result of treatment ; 8 cases, 11 fingers were succeeded, but 4 cases, 6 fingers were tailed. The percentage of success was 66.6%. In the case of complete amputation, success rate was 50% but for incomplete amputation it was 75%. Average time for operation per one finger in the case of complete amputation was 3 hr 26 minutes and for incomplete amputation was 1 hr 53 minutes.

8 patients who were success in replantation were followed up for 6 to 38 months. By using Ch’En Criteria to evaluate the result of treatment ; 6 cases were grade II, 1 case was grade III and another 1 case was grade IV. Seven patients were satisfied of the result.

From this study, majority of the cases were incomplete amputation which had better result than. complete amputation and also the shorter operative time.