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Demographics and replantation.

R D Goldner1, R D Fitch, J A Nunley

  • 1Division of Orthopaedic Surgery, Duke University Medical Center, Durham, NC 27710.

The Journal of Hand Surgery
|September 1, 1987
PubMed
Summary

This study of upper extremity replantation found most patients were young men from North Carolina injured on the job. Improved workplace safety could reduce amputations.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Demographic Analysis

Background:

  • Replantation of amputated parts is a complex surgical procedure.
  • Understanding patient demographics and injury patterns is crucial for prevention strategies.

Purpose of the Study:

  • To analyze demographic data of patients undergoing upper extremity replantation.
  • To identify common causes and characteristics of amputations requiring replantation.

Main Methods:

  • Retrospective review of 761 patient records from Duke University Medical Center (1972-1984).
  • Analysis of patient demographics, injury circumstances, and surgical outcomes.

Main Results:

  • Most patients were young men (21-30 years) from North Carolina.
  • Job-related injuries, particularly lacerations, were the most common cause (58%).
  • Thumbs were most frequently replanted; average hospital stay was 9 days, with 3 months out of work.

Conclusions:

  • Workplace safety education and injury prevention are key to reducing upper extremity amputations.
  • Targeted interventions can decrease the incidence of job-related amputations in the region.

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