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What are some important factors necessary for successful replantation?
There are several important factors necessary to successful replantation, including special instrumentation and transportation of the amputated finger.
What is tooth replantation?
the reinsertion and splinting of a tooth that has been avulsed (knocked or torn out) of its socket
What percentage of amputated extremities can be successfully replanted?
Successful replantation of amputated extremities typically occurs in about 80-90% of cases when performed promptly and under optimal conditions. Factors influencing success include the type of amputation, the duration of ischemia, and the skill of the surgical team. However, outcomes can vary, and not all amputations are suitable for replantation.
What has the author Edward Joseph Barrett written?
Edward Joseph Barrett has written: 'A prospective longitudinal outcome study of avulsion-replantation of the permanent maxillary incisors in children'
What is CPT code for replantation of right arm including the neck of humerus through elbow joint following a complete traumatic amputation?
The CPT code for replantation of the right arm, including the neck of the humerus through the elbow joint following a complete traumatic amputation, is 20800. This code specifically describes the surgical procedure for reattaching the arm at the specified level. Always verify with current coding resources or guidelines, as codes may be subject to updates or changes.
What does tooth replantation entail?
the dentist or oral surgeon will first administer a local anesthetic to numb the patient's gums. He or she will then reinsert the avulsed tooth in its socket and anchor it within the mouth by installing a splint made of wire
Which teeth may be replanted?
only permanent teeth are replanted. Primary teeth (baby teeth) do not usually have long enough roots for successful replantation. The only exception may be the canine teeth, which have longer roots
How critical is prompt action in replanting a tooth?
The tooth and the patient should go to the dentist within 30 minutes of the accident since fibroblasts begin to die within that time. Rapid treatment improves the chances for successful replantation.
What precautions should be taken after tooth replantation?
Antibiotics may also be given for infection. The patient should avoid rinsing the mouth, spitting, or smoking for the first 24 hours after surgery. He or she should limit food to a soft diet for the next few days.
What are some good journal sources of information on microsurgery?
buncke, harry j. microsurgery: transplantation-replantation. 2002 [cited April 25, 2003]. chang, James. "principles of microsurgery." emedicine. august 5, 2002 [cited April 25, 2003]. ."microsurgery." California pacific medical center
What has the author Chandan Mukherjee written?
Chandan Mukherjee has written: 'Data analysis in development research' -- subject(s): Statistical methods, Social sciences, Research 'Optimal strategy for replantation of coconut trees in Kerala' 'Econometrics and data analysis for developing countries' -- subject(s): Statistical methods, Econometric models, Econometrics, Social sciences
Replantation of digits?
DefinitionReplantation of digits is surgery to repair completely amputated fingers or toes.Alternative NamesRevascularization of amputated digits; Reattachment of amputated fingersDescriptionThe patient is sedated using regional or general anesthesia. The bone ends may be shortened to remove tension on the repaired blood vessels. The finger or toe is put in place and the bone is stabilized with wires or a plate and screws. Tendon repairs are done next.The nerves and vessels are then repaired with special surgical instruments. This part of the surgery is most critical to its success. The skin is then closed. A bulky dressing is applied.Young children may need to wear a cast to protect the area from injury.With an incomplete amputation, part of the digit stays attached to the body by skin, artery, vein, or nerve. A process called revascularization is used to reattach the rest of the digit.Why the Procedure Is PerformedThe surgery is recommended in a case of amputated fingers or toes, when the fingers or toes are in a condition that would allow replantation.RisksRisks for any anesthesia include the following:Reactions to medicationsProblems breathingRisks for any surgery include the following:BleedingInfectionAdditional risks include the following:Death of the replanted tissueReduced nerve or movement function in the replanted digitAfter the ProcedureChildren are especially good candidates for replantation surgery because of their great ability to heal and regenerate tissue. Replantation of an amputated part is ideally performed within 4 - 6 hours after the injury. However, success has been reported up to 24 hours after the injury if the amputated part has been cooled.Proper care of the amputated part or parts is critical to successful replantation. Under the right conditions, there is a good likelihood that the surgery can restore the use of the finger or toe.Outlook (Prognosis)Special care is needed in the hospital to monitor and maintain the blood flow to the replanted part. The arm or leg will be kept raised. The room may be kept warm to ensure that blood flow to the skin is not changed due to cooling.After discharge from the hospital in about a week, you may need to wear a cast to protect the part. The health care provider will need to continue checking blood flow in the digit.ReferencesChai Y, Kang Q, Yang Q, Zeng B. Replantation of amputated finger composite tissues with microvascular anastomosis. Microsurgery. 2008;28:314-320.
