Finger amputation: Difference between revisions
(Created page with "==Indications for Replantation== Thumb Multiple digit Amputation level between palm and distal forearm DISTAL to FDS insertion Amputations in healthy children ==Contrai...") |
No edit summary |
||
| Line 2: | Line 2: | ||
Thumb | *Thumb | ||
Multiple | *Multiple digits | ||
Amputation level between palm and distal forearm | *Amputation level between palm and distal forearm | ||
*Distal to FDS insertion | |||
*Amputations in healthy children | |||
| Line 17: | Line 16: | ||
Severely crushed or mangled parts | *Severely crushed or mangled parts | ||
Prolonged warm ischemia time | *Prolonged warm ischemia time | ||
Single digit | *Single digit | ||
Severe contamination | *Severe contamination | ||
Age >60, poor health, atherosclerotic disease | *Age >60, poor health, atherosclerotic disease | ||
Avulsion injury | *Avulsion injury | ||
Lower extremity amputations | *Lower extremity amputations | ||
==Warm Ischemia== | ==Warm Ischemia== | ||
*12 hours for digit; 6 hours for muscle bearing extremity | |||
==Cold Ischemia== | ==Cold Ischemia== | ||
*24 hours for digit; 12 hours for a muscle bearing extremity | |||
==Treatment== | ==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 | |||
Consult surgery | |||
==Source== | ==Source== | ||
DeBonis 7/09 Adapted Burbulys | DeBonis 7/09 Adapted Burbulys | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 23:06, 31 March 2011
Indications for Replantation
- Thumb
- Multiple digits
- 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
- 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
- Xray limb and part
- Tdap
- Abx ppx
- Consult surgery
Source
DeBonis 7/09 Adapted Burbulys