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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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A treatment of the severed palm with degloved or avulsed skin

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  • presenting/speaker Yitong Chai - Ningbo sixth Hospital, Ningbo, China
  • Jiadong Pan - Ningbo sixth Hospital, Ningbo, China
  • Weiwen Zhang - Ningbo sixth Hospital, Ningbo, China
  • Hong Chen - Ningbo sixth Hospital, Ningbo, China

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-971

doi: 10.3205/19ifssh0980, urn:nbn:de:0183-19ifssh09808

Published: February 6, 2020

© 2020 Chai et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

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Objectives/Interrogation: To introduce indications of palm replantation with degloved or avulsed skin and recovery of hand function

Methods: From June 2011 to January 2015, 10 patients with severed palm with degloved or avulsed skin were treated by replantation. All patients were followed up 8 to 36 months with an average of 14.5 months. In all patients with rigid internal fixation and exquisite soft tissue repair, the functional exercise were performed in early stage after operation.

Results and Conclusions: 10 patients with severed plam were all survived without any postoperative infection. All fractures healed after follow-up of 6~10 weeks with an average of 8 weeks.8 patients took plate removal and Myotenolysis. According to evaluation standard of upper limb replantation function posposed by Chinese Medical Association, 5 cases got excellent results,4 good and 1 poor and good rate is 90 percent.

The severed palm with degloved or avulsed skin is always accompanied by severe soft tissue injuries. with rigid internal fixation and exquisite soft tissue repair and early functional exercise, the hand functions could be in good recovery.