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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Roh, Si Young (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae Hospital) Shim, Woo Cheol (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae Hospital) Lee, Kyung Jin (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae Hospital) Lee, Dong Chul (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae Hospital) Kim, Jin Soo (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae Hospital) Yang, Jae-Won (Gangnam Jaejun Plastic Clinic for Hand and Plastic Surgery)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제5호
발행연도
2015.1
수록면
614 - 618 (5page)

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Background Hand strength deficit following digital replantation is usually attributed to the mechanical deficiency of the replanted digit. Zone 1 replantation, however, should not be associated with any mechanical deficit, as the joint and tendon are intact. We evaluate shortterm motor functions in patients who have undergone single-digit zone 1 replantation. Methods A single-institution retrospective review was performed for all patients who underwent zone 1 replantation. Hand and pinch strengths were evaluated using standard dynamometers. Each set of measurements was pooled according to follow-up periods (within 1 month, 1 to 2 months, 2 to 3 months, and after 3 months). The uninjured hand was used as reference for measurements. Results The review identified 53 patients who had undergone zone 1 replantation and presented for follow-up visits. Compared to the uninjured hand, dynamometer measurements revealed significantly less strength for the hand with replanted digit at one month. The relative mean grip, pulp, and key pinch strength were 31%, 46%, and 48% of the uninjured hand. These three strength measurements gradually increased, with relative strength measurements of 59%, 70%, and 78% for 4-month follow up. Conclusions Despite the lack of joint or tendon injury, strength of the injured hand was significantly lower than that of the uninjured hand during the 4 months following replantation. Improved rehabilitation strategies are needed to diminish the short-term negative impact that an isolated zone 1 replantation has on the overall hand strength.
#Hand strength #Pinch strength #Replantation #Range of motion, articular

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참고문헌 (17)

참고문헌 신청
Hume MC / 1990 / Functional range of motion of the joints of the hand / J Hand Surg Am 15:240~243 google schola Ross DC / 2003 / Tendon function after replantation: prognostic factors and strategies to enhance total active motion / Ann Plast Surg 51:141~146 google schola Gunther CM / 2008 / Grip strength in healthy caucasian adults: reference values / J Hand Surg Am 33:558~565 google schola Jin Hee Shim / 2013 / Normative Measurements of Grip and Pinch Strengths of 21st Century Korean Population / Archives of Plastic Surgery 40(1):52~56 Crossref Walaszek I / 2008 / Long term follow-up after finger replantation / J Hand Surg Eur Vol 33:59~64 google schola

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