Department of Orthopaedics and Traumatology, Namik Kemal University, School of Medicine, Istanbul, Turkey.
J Reconstr Microsurg. 2011 Oct;27(8):475-80. doi: 10.1055/s-0031-1284232. Epub 2011 Jul 27.
The difficulty in keeping an amputated limb biologically alive is overcome day by day thanks to the successful replantation procedures applied in the early period. However, the reflections of this biological success on patients in functional and psychological terms may not be pleasing all the time. In our study, we aimed to evaluate the perceptual responses of patients to trauma after replantation and their possible effects on clinical results. We conducted a retrospective study of 43 patients who underwent replantation. The average age was 32.4 years and the average follow-up period was 38.6 months. When the results of the Short Form-36 (SF-36), Beck's Depression Inventory, and the assessment scores of the disabilities of the arm, shoulder, and hand survey were evaluated, there was a negative correlation between the patients diagnosed with depression and all SF-36 subunits. A negative correlation between the severity of trauma and the average physical and mental values included in the SF-36 evaluations was observed (R = 0.48, R = 0.51, respectively),. These results revealed that the psychology of the patient was one of the important factors that could not be ignored in the success of replantation.
由于早期成功实施的再植手术，保持断肢生物学存活的难度逐日得到克服。然而，这种生物学上的成功在功能和心理方面对患者的影响并不总是令人满意的。在我们的研究中，我们旨在评估患者在再植后对创伤的感知反应及其对临床结果的可能影响。我们对 43 名接受再植手术的患者进行了回顾性研究。平均年龄为 32.4 岁，平均随访时间为 38.6 个月。当评估短格式 36 项健康调查（SF-36）、贝克抑郁量表和上肢残疾评估得分时，诊断为抑郁症的患者与所有 SF-36 亚单位呈负相关。创伤严重程度与 SF-36 评估中包含的平均身心值呈负相关（R = 0.48，R = 0.51）。这些结果表明，患者的心理是再植成功中一个不可忽视的重要因素。
