Finger amputation: Difference between revisions

Revision as of 17:29, 15 November 2011

DeBonis 7/09 Adapted Burbulys

Authors:

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 ==Indications for Replantation==
+#Thumb
+#Multiple digits
-*Thumb
+#Amputation level between palm and distal forearm
+#Distal to FDS insertion
-*Multiple digits
+#Amputations in healthy children
-*Amputation level between palm and distal forearm
-*Distal to FDS insertion
-*Amputations in healthy children
 ==Contraindications==
+#Severely crushed or mangled parts
+#Prolonged warm ischemia time
-*Severely crushed or mangled parts
+#Single digit
+#Severe contamination
-*Prolonged warm ischemia time
+#Age >60, poor health, atherosclerotic disease
+#Avulsion injury
-*Single digit
+#Lower extremity amputations
-*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
+#Xray limb and part
+#Tdap
+#Abx ppx
+#Consult surgery
-*Irrigate amputated part
+==See Also==
-*Place moist, sterile gauze around amputated part
+*[[High-Pressure Injection Injury]]
-*Place in water tight container in ice water
-*Xray limb and part
-*Tdap
-*Abx ppx
-*Consult surgery
 ==Source==