{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:03:20Z","timestamp":1761807800924},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta ortop. bras."],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>OBJETIVOS: Avalia\u00e7\u00e3o retrospectiva criteriosa de casos de reimplantes ap\u00f3s amputa\u00e7\u00e3o por avuls\u00e3o. Avalia\u00e7\u00e3o de t\u00e9cnicas e t\u00e1ticas utilizadas que determinaram evolu\u00e7\u00e3o satisfat\u00f3ria e bom resultado funcional. MET\u00d3DOS: Foram avaliados, retrospectivamente, prontu\u00e1rios de 43 pacientes que tiveram membros amputados por mecanismo de avuls\u00e3o e reimplantados nos \u00faltimos 21 anos. RESULTADOS: A maior parte dos casos envolvia homens adultos jovens. A localiza\u00e7\u00e3o de amputa\u00e7\u00e3o mais frequente foi do polegar. As t\u00e9cnicas e t\u00e1ticas cir\u00fargicas utilizadas isoladas ou conjuntamente incluem: enxertos de nervo, enxertos vasculares (veia ou art\u00e9ria), transposi\u00e7\u00e3o de feixe vascular digital, encurtamento do membro e reimplante heterot\u00f3pico. A t\u00e9cnica mais frequentemente utilizada foi o emprego de enxertos venosos. A taxa de sobrevida dos reimplantes foi alta (93%), assim como a satisfa\u00e7\u00e3o dos pacientes. CONCLUS\u00c3O: Os reimplantes por mecanismo de avuls\u00e3o dependem do correto diagn\u00f3stico de viabilidade anat\u00f4mica e utiliza\u00e7\u00e3o de t\u00e9cnicas e t\u00e1ticas cir\u00fargicas apropriadas para cada caso. A experi\u00eancia da equipe cir\u00fargica e estrutura hospitalar adequada s\u00e3o fundamentais para obten\u00e7\u00e3o de bons resultados. Existem poucos relatos na literatura sobre indica\u00e7\u00e3o, t\u00e1tica, t\u00e9cnicas e resultados de procedimentos de reimplantes em amputa\u00e7\u00f5es por avuls\u00e3o. Acreditamos que a avalia\u00e7\u00e3o retrospectiva desta s\u00e9rie de casos possa trazer novas informa\u00e7\u00f5es e contribui\u00e7\u00f5es no atendimento desta situa\u00e7\u00e3o de alta complexidade. N\u00edvel de evid\u00eancia IV, S\u00e9rie de casos.<\/jats:p>","DOI":"10.1590\/s1413-78522012000200009","type":"journal-article","created":{"date-parts":[[2013,1,18]],"date-time":"2013-01-18T18:35:50Z","timestamp":1358534150000},"page":"104-109","source":"Crossref","is-referenced-by-count":3,"title":["Reimplantes nas amputa\u00e7\u00f5es por mecanismo de avuls\u00e3o: t\u00e1ticas e t\u00e9cnicas para o sucesso"],"prefix":"10.1590","volume":"20","author":[{"given":"Renata Gregorio","family":"Paulos","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle Tiemi","family":"Sim\u00e3o","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rames","family":"Mattar J\u00fanior","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelo Rosa de","family":"Rezende","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teng Hsiang","family":"Wei","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano Ruiz","family":"Torres","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1055\/s-2007-965399","article-title":"Replantation of thumb avulsion injuries","volume":"39","author":"G\u00fclg\u00f6nen A","year":"2007","journal-title":"Handchir Mikrochir Plast Chir."},{"issue":"7","key":"ref2","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1016\/j.bjps.2007.03.009","article-title":"Replantation of fingers and hands after avulsion and crush injuries","volume":"60","author":"Molski M","year":"2007","journal-title":"J Plast Reconstr Aesthet Surg."},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1016\/j.jhsa.2004.07.015","article-title":"Analysis of prognostic factors in ring avulsion injuries","volume":"29","author":"Sanmartin M","year":"2004","journal-title":"J Hand Surg Am."},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.3928\/0147-7447-19981001-10","article-title":"Avulsion injuries of the thumb: survival factors and functional results of replantation","volume":"21","author":"Aziz W","year":"1998","journal-title":"Orthopedics."},{"issue":"5","key":"ref5","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.bjps.2005.10.007","article-title":"Unique superiority of microsurgical repair technique with its functional and aesthetic outcomes in ring avulsion injuries","volume":"59","author":"Ozkan O","year":"2006","journal-title":"J Plast Reconstr Aesthet Surg."},{"issue":"6","key":"ref6","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1002\/micr.20527","article-title":"Use of the venous flap for salvage of difficult ring avulsion injuries","volume":"28","author":"Brooks D","year":"2008","journal-title":"Microsurgery."},{"issue":"6","key":"ref7","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/j.bjps.2005.01.003","article-title":"Salvage of an avulsion amputated thumb at the interphalangeal joint level using afferent arteriovenous shunting","volume":"58","author":"Chen KT","year":"2005","journal-title":"Br J Plast Surg."},{"issue":"6","key":"ref8","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1097\/00000637-199606000-00011","article-title":"Replantation of ring avulsion of index, long, and ring fingers","volume":"36","author":"Tseng OF","year":"1996","journal-title":"Ann Plast Surg."},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/S0094-1298(20)31549-2","article-title":"Lower extremity avulsion injuries","volume":"13","author":"Hidalgo DA","year":"1986","journal-title":"Clin Plast Surg."},{"issue":"3","key":"ref10","doi-asserted-by":"crossref","first-page":"331","DOI":"10.3109\/02844319209015280","article-title":"Transfer of vessels in the management of ring avulsion injury","volume":"26","author":"Castagnetti C","year":"1992","journal-title":"Case report. 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