{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:13:51Z","timestamp":1791490431485,"version":"4.3.4"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: The aim of this study was to evaluate long-term clinical and functional results of major upper extremity replantations.\\r\\nMethods: We retrospectively evaluated 26 male patients (mean age 27 years; range 3 to 69 years) who underwent major upper extremity replantations and had a mean follow-up of 11.3 years (range 5 to 19 years). The levels of the replantations were transmetacarpal (n=6), wrist (n=4), forearm (n=5), elbow (n=4), and arm (n=7). Amputations were of clean-cut, crush, and avulsion types in seven, eight, and 11 patients, respectively. Secondary operations were performed in 19 patients. Functional results were assessed using the Chen\u2019s criteria and the Turkish version of the DASH questionnaire (Disabilities of the Arm, Shoulder and Hand) was administered.\\r\\nResults: The mean surgical shortening was 37.2 mm, and the final mean radiographic shortening was 52.2 mm. The mean grip and pinch strengths on the affected side were 12.3 kg and 3.6 kg, compared to the strengths of 37.6 kg and 8.7 kg on the normal side, respectively. Monofilament testing showed sensory recovery in 20 patients. Two-point discrimination could be made by 18 patients for the median nerve, and by 17 patients for the ulnar nerve. According to the Chen\u2019s criteria, the results were very good or good in 17 patients (65.4%), moderate in three patients (11.5%), and poor in six patients (23.1%). Functional results were correlated with the level (r=0.71) and type (r=0.65) of injury, with injuries at the elbow level and avulsion injuries being associated with a worse outcome. The mean DASH score was 6.7 (range 0 to 32.5) and the mean scores of Chen\u2019s grade I-II and grade III-IV patients differed significantly (p&lt;0.05).\\r\\nConclusion: Lower DASH scores show increased satisfaction of the patients and improved use of their replanted extremities as the helper arm whereby functional deficiency is somewhat compensated.\n\n\n\u00d6zet\n\nAma\u00e7: \u00dcst ekstremitede maj\u00f6r replantasyon uygulanan olgular\u0131n uzun d\u00f6nem izlemlerinde elde edilen klinik ve fonksiyonel sonu\u00e7lar de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: 1987-2003 y\u0131llar\u0131 aras\u0131nda 26 erkek hastaya (ort. ya\u015f 27; da\u011f\u0131l\u0131m 3-69) uygulanan \u00fcst ekstremite maj\u00f6r replantasyon cerrahisi sonu\u00e7lar\u0131, ortalama 11.3 y\u0131l (da\u011f\u0131l\u0131m 5-19 y\u0131l) izlem s\u00fcresi sonunda geriye d\u00f6n\u00fck olarak de\u011ferlendirildi. Replantasyonlar transmetakarpal (n=6), el bile\u011fi (n=4), \u00f6nkol (n=5), dirsek (n=4) ve kol (n=7) seviyesinden yap\u0131ld\u0131. Yaralanma, yedi hastada keskin s\u0131n\u0131rl\u0131, sekiz hastada ezilme, 11 hastada s\u0131yr\u0131lma \u015feklindeydi. Ondokuz hastaya ikincil cerrahi uyguland\u0131. Fonksiyonel sonu\u00e7lar\u0131n yorumlanmas\u0131nda Chen \u00f6l\u00e7\u00fctleri ve DASH-T (Kol, Omuz ve El Sorunlar\u0131 Anketi-T\u00fcrk\u00e7e) kullan\u0131ld\u0131.\\r\\nSonu\u00e7lar: Ameliyat s\u0131ras\u0131ndaki k\u0131saltma miktar\u0131 ortalama 37.2 mm, takip sonundaki radyografik k\u0131salma miktar\u0131 ortalama 52.2 mm idi. Yaral\u0131 tarafta ortalama kavrama g\u00fcc\u00fc 12.3 kg, \u00e7imdik g\u00fcc\u00fc 3.6 kg (sa\u011flam tarafta s\u0131ras\u0131yla 37.6 kg ve 8.7 kg) bulundu. Monofilaman testinde duyunun 20 hastada geri d\u00f6nd\u00fc\u011f\u00fc g\u00f6r\u00fcld\u00fc. \u0130ki nokta ayr\u0131m testinde 18 hastan\u0131n median sinir i\u00e7in, 17 hastan\u0131n ulnar sinir i\u00e7in iki nokta ayr\u0131m\u0131 yapabildi\u011fi g\u00f6r\u00fcld\u00fc. Chen \u00f6l\u00e7\u00fctlerine g\u00f6re 17 hastada (%65.4) \u00e7ok iyi veya iyi, \u00fc\u00e7 hastada (%11.5) orta, alt\u0131 hastada (%23.1) k\u00f6t\u00fc sonu\u00e7 elde edildi. Yaralanma seviyesi (r=0.71) ve yaralanma t\u00fcr\u00fcyle (r=0.65) Chen \u00f6l\u00e7\u00fctleri aras\u0131nda korelasyon saptand\u0131. Dirsek seviyesindeki yaralanmalar\u0131n ve s\u0131yr\u0131lma tarz\u0131ndaki yaralanmalar\u0131n sonucu olumsuz etkiledi\u011fi g\u00f6r\u00fcld\u00fc. DASH-T skoru ortalamas\u0131 6.7 (da\u011f\u0131l\u0131m 0-32.5) olarak hesapland\u0131. Chen I-II grubu ile III-IV grubu hastalar\u0131n ortalama DASH-T skorlar\u0131 aras\u0131nda anlaml\u0131 fark bulundu (p&lt;0.05).\\r\\n\u00c7\u0131kar\u0131mlar: DAST-T skorlar\u0131n\u0131n d\u00fc\u015f\u00fck olmas\u0131, hasta memnuniyetinin ve replantasyon uygulanan ekstremitenin yard\u0131mc\u0131 kol olarak kullan\u0131m\u0131n\u0131n iyi oldu\u011funu, bu \u015fekilde fonksiyonel eksikli\u011fin hafifletildi\u011fini g\u00f6stermektedir.<\/jats:p>","DOI":"10.3944\/aott.2009.206","type":"journal-article","created":{"date-parts":[[2009,8,16]],"date-time":"2009-08-16T08:10:56Z","timestamp":1250410256000},"page":"206-213","source":"Crossref","is-referenced-by-count":38,"title":["Longterm results of major upper extremity replantations"],"prefix":"10.5152","volume":"43","author":[{"given":"Tahir","family":"Sadik Sugun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemal","family":"Ozaksar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sait","family":"Ada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firdevs","family":"Kul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuat","family":"Ozerkan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Kaplan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yalcin","family":"Ademoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Kayalar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emin","family":"Bal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulgar","family":"Toros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aslan","family":"Bora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"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\/2267\/2224","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:00:18Z","timestamp":1763463618000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2009,1,3]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.206","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}