{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:04:32Z","timestamp":1763463872099,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We retrospectively evaluated replantations performed for Tamai type 1 thumb amputations.\\r\\nMethods: The study included 14 patients (12 males, 2 females; mean age 28 years; range 14 to 40 years) whose replanted thumbs survived following replantation for Tamai type 1 amputations in the distal nail fold of the thumb. Central digital artery anastomosis was performed in all the cases. Four patients with an appropriate vein had a single volar vein anastomosis. Nerve repair could be possible in only three patients. Sensory evaluations were made with the Semmes-Weinstein monofilament test, static and moving two-point discrimination tests, and vibration test. In addition, patients were evaluated with respect to atrophy in the replanted part, nail-bed deformities, and cold intolerance. The mean follow-up period was 11 months (range 6 to 48 months). \\r\\nResults: The Semmes-Weinstein test was green (range 2.83 to 3.22) in five patients (35.7%), blue (range 3.22 to 3.61) in eight patients (57.1%), and purple (range 3.84 to 4.31) in one patient (7.1%). The mean static and moving two-point discrimination test results were 6.9 mm (range 3 to 10 mm) and 4.5 mm (range 3 to 6 mm), respectively. Compared to the intact fingers, vibration was increased in six thumbs (42.9%), decreased in six thumbs, and the same in two thumbs (14.3%). Atrophy of the replanted parts was observed in five patients (35.7%). Three patients (21.4%) complained about cold intolerance, and three patients had nail-bed deformities. The mean time to return to work was 3.2 months (range 2 to 6 months).\\r\\nConclusion: Despite technical difficulties, thumb replantations yield good functional and aesthetic results. Sensory recovery is sufficient even after tip replantations without nerve repair.\n\n\u00d6zet\n\nAma\u00e7: Ba\u015fparmak Tamai tip 1 amputasyonlarda uygulanan replantasyonlar geriye d\u00f6n\u00fck olarak de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya, ba\u015fparmak t\u0131rnak yata\u011f\u0131 distalinde meydana gelen Tamai tip 1 amputasyonlar nedeniyle replantasyon uygulanan ve tedavi sonras\u0131nda dola\u015f\u0131m devam\u0131 sa\u011flanan 14 hasta (12 erkek, 2 kad\u0131n; ort. ya\u015f 28; da\u011f\u0131l\u0131m 14-40) al\u0131nd\u0131. T\u00fcm hastalarda santral digital arter anastomozu yap\u0131ld\u0131. Anastomoza uygun ven bulunabilen d\u00f6rt hastada birer adet volar ven anastomozu yap\u0131ld\u0131. Sinir tamiri sadece \u00fc\u00e7 hastada yap\u0131labildi. Duyu de\u011ferlendirmesi Semmes-Weinstein testi, iki nokta ayr\u0131m testi, hareketli iki nokta ayr\u0131m testi ve vibrasyon testi ile yap\u0131ld\u0131; ayr\u0131ca, hastalar parmak atrofisi, so\u011fuk intolerans\u0131 ve t\u0131rnak yata\u011f\u0131 deformiteleri a\u00e7\u0131s\u0131ndan incelendi. Ortalama takip s\u00fcresi 11 ay (da\u011f\u0131l\u0131m 6-48) idi. \\r\\nSonu\u00e7lar: Semmes-Weinstein testi be\u015f parmakta (%35.7) ye\u015fil (da\u011f\u0131l\u0131m 2.83-3.22), sekiz parmakta (%57.1) mavi (da\u011f\u0131l\u0131m 3.22-3.61), bir parmakta (%7.1) mor (da\u011f\u0131l\u0131m 3.84-4.31) idi. \u0130ki nokta ayr\u0131m testi ortalama skoru 6.9 mm (da\u011f\u0131l\u0131m 3-11 mm), hareketli iki nokta ayr\u0131m testi ortalama skoru 4.5 mm (da\u011f\u0131l\u0131m 3-6 mm) bulundu. Ayn\u0131 elin sa\u011fl\u0131kl\u0131 parmaklar\u0131yla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, vibrasyon alt\u0131 ba\u015fparmakta (%42.9) artm\u0131\u015f, alt\u0131 ba\u015fparmakta azalm\u0131\u015f bulunurken, iki ba\u015fparma\u011f\u0131n (%14.3) vibrasyonu di\u011fer parmaklarla e\u015fit idi. Be\u015f parma\u011f\u0131n (%35.7) replante edilen k\u0131sm\u0131nda atrofi; \u00fc\u00e7er hastada (%21.4) ise so\u011fuk intolerans\u0131 ve t\u0131rnak deformitesi g\u00f6r\u00fcld\u00fc. Hastalar\u0131n i\u015fe d\u00f6n\u00fc\u015f s\u00fcreleri ortalamas\u0131 3.2 ayd\u0131 (da\u011f\u0131l\u0131m 2-6 ay).\\r\\n\u00c7\u0131kar\u0131mlar: Ba\u015fparmak distal u\u00e7 replantasyonlar\u0131, teknik zorluklara ra\u011fmen, g\u00f6r\u00fcn\u00fcm a\u00e7\u0131s\u0131ndan ve fonksiyonel a\u00e7\u0131dan iyi sonu\u00e7lar vermektedir. Sinir tamiri yap\u0131lamayan olgularda da yeterli duysal iyile\u015fme sa\u011flanmaktad\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2008.252","type":"journal-article","created":{"date-parts":[[2008,12,7]],"date-time":"2008-12-07T07:59:48Z","timestamp":1228636788000},"page":"252-257","source":"Crossref","is-referenced-by-count":7,"title":["Late results of replantations in tip amputations of the thumb"],"prefix":"10.5152","volume":"42","author":[{"given":"\u0130smail","family":"B\u00fclent \u00d6z\u00e7elik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00fcsrev","family":"Purisa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berkan","family":"Mersa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0130lker","family":"Sezer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erden","family":"Ert\u00fcrer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6zge","family":"Erg\u00fcn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2203\/2160","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:01:12Z","timestamp":1763463672000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2008,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2008.252","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}