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Original Article 


The Pocket Method Gives Poor Results When Used for Fingertip Amputations with Bony Fragments

Ali Eray Günay, Kadir Tatlısu.

Abstract
Abstract
Background: The aim of this study is to investigate the mid-term results of subdermal pocket replantation without vessel repair on fingertip amputation cases with bone fragments.
Methods: In 2018-2019, nine patients’ eleven fingers whose fingertip amputation could not be repaired and be aplied subdermal pocketing were included in the study. Satisfaction level, range of motion, length and survival rate, two-point static discrimination and Semmes Weinstein monofilament test were applied.
Results: All of the patients included in the study were male and the mean age was 35.2 ± 13.5 years. The mean time between insertion and removal of the finger in the pocket is 16.45 ± 2.42 (14-21) days. The median of SMWT was 2.83 (2.83 – 6.65) and the mean of S2PD was 3.62 ± 0.38 (2.00 – 6.00) mm. The mean score of satisfaction was 65.9 ± 27.9 (0 – 100) out of hundred.
Three patients’ three fingers survived and this patients were named as group A, and the other 6 patients (8 fingers) were named as group B. The average survival rate of three patients was 71.7 ± 33.2%. There was no statistically significant difference between groups in terms of age, waiting time in the pocket, SWMT, S2PD and satisfaction scores.
Conclusions: Although pocket replantation method is an easy method to apply, it does not show perfect results in cases with bone fragments. It seems to be a viable method for providing venous drainage in fingertip amputations where artery repair can be performed but vein repair cannot be performed.

Key words: Pulp Defect, Tamai zone I, Subdermal Pocket Replantation, Finger Distal Amputation


 
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Pubmed Style

Ali Eray Günay| Kadir Tatlısu. The Pocket Method Gives Poor Results When Used for Fingertip Amputations with Bony Fragments. Hand Microsurg. 2021; 10(3): 255-259. doi:10.5455/handmicrosurg.72804


Web Style

Ali Eray Günay| Kadir Tatlısu. The Pocket Method Gives Poor Results When Used for Fingertip Amputations with Bony Fragments. http://handmicrosurgeryjournal.com/?mno=72804 [Access: December 25, 2021]. doi:10.5455/handmicrosurg.72804


AMA (American Medical Association) Style

Ali Eray Günay| Kadir Tatlısu. The Pocket Method Gives Poor Results When Used for Fingertip Amputations with Bony Fragments. Hand Microsurg. 2021; 10(3): 255-259. doi:10.5455/handmicrosurg.72804



Vancouver/ICMJE Style

Ali Eray Günay| Kadir Tatlısu. The Pocket Method Gives Poor Results When Used for Fingertip Amputations with Bony Fragments. Hand Microsurg. (2021), [cited December 25, 2021]; 10(3): 255-259. doi:10.5455/handmicrosurg.72804



Harvard Style

Ali Eray Günay| Kadir Tatlısu (2021) The Pocket Method Gives Poor Results When Used for Fingertip Amputations with Bony Fragments. Hand Microsurg, 10 (3), 255-259. doi:10.5455/handmicrosurg.72804



Turabian Style

Ali Eray Günay| Kadir Tatlısu. 2021. The Pocket Method Gives Poor Results When Used for Fingertip Amputations with Bony Fragments. Hand and Microsurgery, 10 (3), 255-259. doi:10.5455/handmicrosurg.72804



Chicago Style

Ali Eray Günay| Kadir Tatlısu. "The Pocket Method Gives Poor Results When Used for Fingertip Amputations with Bony Fragments." Hand and Microsurgery 10 (2021), 255-259. doi:10.5455/handmicrosurg.72804



MLA (The Modern Language Association) Style

Ali Eray Günay| Kadir Tatlısu. "The Pocket Method Gives Poor Results When Used for Fingertip Amputations with Bony Fragments." Hand and Microsurgery 10.3 (2021), 255-259. Print. doi:10.5455/handmicrosurg.72804



APA (American Psychological Association) Style

Ali Eray Günay| Kadir Tatlısu (2021) The Pocket Method Gives Poor Results When Used for Fingertip Amputations with Bony Fragments. Hand and Microsurgery, 10 (3), 255-259. doi:10.5455/handmicrosurg.72804








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