Rehabilitation of the reimplanted thumb: review of functional results in a health unit in Rio de Janeiro
DOI:
https://doi.org/10.33233/fb.v21i6.4543Keywords:
Thumb, reimplantation, rehabilitationAbstract
Introduction: The thumb is the finger of greatest functional importance to the hand, which is why it is justified for reimplantation and rehabilitation. Objective: To carry out a retrospective analysis of the results by reviewing 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 right-handed, 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.
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Copyright (c) 2021 Ivens Messias de Oliveira Pereira, Camila Rodrigues de Almeida, Stenio Karlos Alvim Fiorelli, Mauricio de Sant'Anna Jr, Julio Guilherme Silva, Marco Azizi, Marco Orsini, Renata Castro, Jacqueline F do Nascimento, Rossano Kepler Alvim Fiorelli
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