Finger amputation: Difference between revisions
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#Amputation level between palm and distal forearm | #Amputation level between palm and distal forearm | ||
#Distal to FDS insertion | #Distal to FDS insertion | ||
#Amputations in | #Amputations in children | ||
==Contraindications== | ==Contraindications== | ||
#Severely crushed or mangled parts | #Severely crushed or mangled parts | ||
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#Place moist, sterile gauze around amputated part | #Place moist, sterile gauze around amputated part | ||
#Place in water tight container in ice water | #Place in water tight container in ice water | ||
# | #X-ray limb and part | ||
#Tdap | #Tdap | ||
#Abx | #Abx | ||
Revision as of 02:58, 28 March 2012
Indications for Replantation
- Thumb
- Multiple digits
- Amputation level between palm and distal forearm
- Distal to FDS insertion
- Amputations in children
Contraindications
- Severely crushed or mangled parts
- Prolonged warm ischemia time
- Single digit
- Severe contamination
- Age >60, poor health, atherosclerotic disease
- Avulsion injury
- Lower extremity amputations
Warm Ischemia
- 12 hours for digit; 6 hours for muscle bearing extremity
Cold Ischemia
- 24 hours for digit; 12 hours for a muscle bearing extremity
Treatment
- Irrigate amputated part
- Place moist, sterile gauze around amputated part
- Place in water tight container in ice water
- X-ray limb and part
- Tdap
- Abx
- 1st generation cephalosporin + gentamicin
- Consult surgery
See Also
Source
DeBonis 7/09 Adapted Burbulys