{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T20:43:37Z","timestamp":1768769017481,"version":"3.49.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nAmputations involving ten digits are very rare because of different lengths of the digits. A 34-year-old man working in a printing house presented one hour after guillotine amputation involving all ten digits. Surgery was initiated 80 minutes after admission and took seven hours. Under axillary anesthesia, the operation was performed by two teams each consisting of two microsurgeons and two assistants. Replantation was completed without the use of any skin graft or flap. Fingertip examination showed poor arterial circulation in the second, third, and fourth digits of the left hand after 24 hours of replantation and surgical exploration was performed, during which anastomosis of the ulnar digital artery of the second digit was re-established and a Y-shaped vein graft was placed at the level of the third web to restore revascularization of the third and fourth digits. However, these interventions did not prevent the development of necrosis in the distal segment of the fourth digit which resulted in dry gangrene that required amputation. After 38 months of replantation, radiographic examination showed complete union in all fingers without malunion or damage to the joint surface and about 8 degrees of medial angulation in the proximal phalanx of the fourth digit of the right hand. The patient did not have difficulty in performing daily activities and had a considerably good pinching. Losses of active range of motion of the metacarpophalangeal and interphalangeal joints were within the rage of 10 to 30 degrees in both hands. In the assessment of sensation, static and dynamic two-point discrimination test results were 6.1 mm and 4.0 mm, respectively.\n\n\u00d6zet\n\nOn el parma\u011f\u0131nda da amputasyonla sonu\u00e7lanan yaralanmalar, parmaklar\u0131n farkl\u0131 uzunlukta olmalar\u0131ndan dolay\u0131 \u00e7ok nadir g\u00f6r\u00fclmektedir. Otuz d\u00f6rt ya\u015f\u0131nda, matbaac\u0131l\u0131k i\u015fiyle u\u011fra\u015fan erkek hasta, giyotin tarz\u0131nda on parmak amputasyonu ile yaralanmadan bir saat sonra ba\u015fvurdu. Hasta ba\u015fvurusundan 80 dakika sonra ameliyata al\u0131nd\u0131 ve aksiler anestezi alt\u0131nda ameliyat yedi saat s\u00fcrd\u00fc. Replantasyon her biri iki mikrocerrah ve iki asistandan olu\u015fan iki ekip taraf\u0131ndan ger\u00e7ekle\u015ftirildi ve deri grefti veya flebi kullan\u0131lmad\u0131. Ameliyattan 24 saat sonra, parmak ucu incelemesinde sol el 2, 3 ve 4. parmaklarda arteryel dola\u015f\u0131m bozuklu\u011fu g\u00f6r\u00fclerek eksplorasyon yap\u0131ld\u0131. \u0130kinci parma\u011f\u0131n ulnar arterinin anastomozu yenilenerek, 3-4. parmaklara ise 3. web hizas\u0131nda Y tipi ven grefti uygulanarak revask\u00fclarizasyon sa\u011fland\u0131. Ancak, sol el d\u00f6rd\u00fcnc\u00fc parmak distalinde geli\u015fen nekroz kuru kangrenle sonu\u00e7land\u0131 ve bu parma\u011fa amputasyon uyguland\u0131. Replantasyon sonras\u0131 38. aydaki radyografik de\u011ferlendirmede t\u00fcm parmaklarda tam kaynama g\u00f6r\u00fcld\u00fc. Sa\u011f el d\u00f6rd\u00fcnc\u00fc parmak proksimal falankstaki yakla\u015f\u0131k 8 derecelik mediale a\u00e7\u0131lanma d\u0131\u015f\u0131nda, di\u011fer parmak kemiklerinde yanl\u0131\u015f kaynama veya eklem y\u00fcz\u00fc harabiyetine rastlanmad\u0131. Fonksiyonel olarak da, hastan\u0131n g\u00fcnl\u00fck aktivitelerinde sorun ya\u015famad\u0131\u011f\u0131 ve s\u0131k\u0131\u015ft\u0131rma fonksiyonunu rahatl\u0131kla yerine getirebildi\u011fi g\u00f6r\u00fcld\u00fc. Hastan\u0131n metakarpofalengeal ve interfalengeal eklemlere ait aktif eklem hareket a\u00e7\u0131kl\u0131klar\u0131ndaki kay\u0131plar her iki elde de 10-30 derece aras\u0131ndayd\u0131. Duyusal a\u00e7\u0131dan ise, iki nokta ayr\u0131m testi 6.1 mm, hareketli iki nokta ayr\u0131m testi 4.0 mm bulundu.<\/jats:p>","DOI":"10.3944\/aott.2010.2109","type":"journal-article","created":{"date-parts":[[2010,5,12]],"date-time":"2010-05-12T14:27:30Z","timestamp":1273674450000},"page":"76-78","source":"Crossref","is-referenced-by-count":4,"title":["Successful replantation in tendigit amputation"],"prefix":"10.5152","volume":"44","author":[{"given":"Umit","family":"Kantarci","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Selim","family":"Cepel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Halil","family":"Buldu","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\/2355\/2312","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:56:44Z","timestamp":1763463404000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2010,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2010.2109","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]]}}}