We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Reabilitação do polegar reimplantado: avaliação dos resultados funcionais em uma unidade de saúde no Rio de Janeiro.
- Authors
Messias de Oliveira Pereira, Ivens; Rodrigues de Almeida, Camila; Alvim Fiorelli, Stenio Karlos; de Sant' Anna Jr, Mauricio; Guilherme Silva, Julio; Azizi, Marco; Orsini, Marco; Castro, Renata; F. do Nascimento, Jacqueline; Kepler Alvim Fiorelli, Rossano
- Abstract
Introduction: The thumb is the greatest functional finger of the hand, which is justifies its replantation and rehabilitation. Objective: To carry out a retrospective analysis of the medical records of patients undergoing thumb reimplantation, performed by the SOS-Reimplantation Service of the State Hospital Adão Pereira Nunes. Methodology: This is a retrospective study with a convenience sample, covering the period between January 2010 and December 2015, conducted thorough medical records of patients undergoing the process of thumb replantation, attended at the Occupational Therapy Service / TO - Hand at the Adão Pereira Nunes State Hospital, in Duque de Caxias, Rio de Janeiro. Sociodemographic information was collected, in addition to muscle strength, sensitivity, and rehabilitation time. Results: 63 medical records of patients who underwent thumb reimplantation procedure, aged 18 to 65 years, were reviewed. As for the accident site, 76.1% of the cases were due to occupational accidents and 23.2% to domestic accidents. When observing the laterality of the lesion, 92% of the patients were righthanded, while the thumb with the largest number of lesions was left, with a total of 82.5% patients. As for the level of the lesion, 25.3% of patients suffered an injury to the proximal phalanx, 20.8% of patients suffered an injury to the interphalangeal region, and 53.9% of the patients had lesions to the distal phalanx. Among those referred for further evaluation, 28.5% of patients underwent other surgical procedures. There was overall strength gain in 88.2% of patients in sensitivity. Conclusion: Most patients who underwent thumb reimplantation were able to obtain gains in muscle strength and sensitivity, being able to return to their work activities, with a rehabilitation time that varied from 4 to 14 months.
- Subjects
BRAZIL; THUMB injuries; HOSPITALS; MEDICAL records; OCCUPATIONAL therapy; REIMPLANTATION (Surgery); STATISTICAL sampling; HAND injury treatment; RETROSPECTIVE studies; FUNCTIONAL assessment; DESCRIPTIVE statistics; ACQUISITION of data methodology; REHABILITATION
- Publication
Fisioterapia Brasil, 2020, Vol 21, Issue 6, p579
- ISSN
1518-9740
- Publication type
Article
- DOI
10.33233/fb.v21i6.4543