Abstract
Objectives: Our aim was to evaluate the upper extremity traumatic amputation cases based on etiology, age group, injury localisation, gender, level of amputation and the administrated surgical therapy. Methods: One hundred forty-two patients who refer to Plastic Surgery ER of Sisli Etfal Training and Research Hospital with a complaint of upper extremity amputation, between January 1st and December 31th 2011,were evaluated retrospectively. A total of 170 digital amputation cases were evaluated. Results: As suspected injury to a digit evaluated, enumeration goes as D3 24.7% (42 digits), D2 24.1% (41 digits), D5 18.8% (32 digits), D1 18.2% (31 digits) and D4 14.2% (24 digits). Of 142 patients 119 were male and 23 were female. Age range was 12 months to 78 (mean: 29.9.) years. When replanted fingers were reviewed according to Tamai zones; zone II was 14 digits (31.8%), zone III was 6 digits (13.6%), zone IV was 18 digits (40.9%) and zone V was 6 digits (13.6%). Conclusion: Distal finger amputations (Tamai zones I and II) form the most controversial amputation level. The decision of stump, local flap or replantation at this level will not only affect the patients’ functional and body integrity but also the daily activity and dexterity of manual labor.
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