SavedAdd your journal

Journals / Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi / 2011 / Cilt: 57 - Sayı: 2

Üst ekstremite replantasyon ve revaskülarizasyonu sonrası kemik mineral yoğunluğunun değerlendirilmesi

Evaluation of bone mineral density after replantation or revascularization surgery in the upper extremity

Elif AKALIN
Metin MANİSALI
Mustafa ÖZKAN
Banu DİLEK
Selmin GÜLBAHAR
Kadir BACAKOĞLU
Ramazan KIZIL
Pages
73–79
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There was a positive correlation between lateral pinch strength and BMD and a negative correlation between age and BMD (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study was undertaken to examine bone mineral density (BMD) of the hand after replantation or revascularization surgery in the upper extremity and to investigate the relationship between BMD and muscle strength, range of motion and motor activity.
📊
Key Findings & Data:Results: The average length of time that had elapsed after surgery was 5.36±3.08 years.
💡
Conclusion & Impact:There was a positive correlation between lateral pinch strength and BMD and a negative correlation between age and BMD (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: This study was undertaken to examine bone mineral density (BMD) of the hand after replantation or revascularization surgery in the upper extremity and to investigate the relationship between BMD and muscle strength, range of motion and motor activity. Materials and Methods: Fourteen patients who underwent a replantation or revascularization surgery in the upper extremity were included in this study. Total active motion (TAM), handgrip and lateral pinch strength were evaluated. Motor activity was assessed using the Purdue Pegboard Test (PPT) and BMD was estimated by radiographic absorptiometry (ALARA). The results of the injured and non-injured sides were compared. Results: The average length of time that had elapsed after surgery was 5.36±3.08 years. Handgrip and pinch strength, TAM of the fingers and thumb as well as the PPT of the replanted extremity were significantly decreased (p0.05). There was a positive correlation between lateral pinch strength and BMD and a negative correlation between age and BMD (p

Özet

Amaç: Bu çalışmada, üst ekstremitede replantasyon veya revaskularizasyon cerrahisi sonrası elde kemik mineral yoğunluğunu (KMY) değerlendirmek ve KMY ile kas gücü, eklem hareket açıklığı ve motor aktivite arasındaki ilişkiyi belirlemek amaçlandı. Gereç ve Yöntem: Çalışmaya üst ekstremitede replantasyon veya revaskularizasyon cerrahisi geçiren 14 hasta alındı. Total aktif hareket(TAH), el kavrama ve lateral kavrama güçleri değerlendirildi. Motor aktivite Purdue Pegboard Test (PPT) ile, KMY radyografik absorbsiyometri (ALARA) kullanılarak değerlendirildi. Etkilenen ve etkilenmeyen tarafın sonuçları karşılaştırıldı. Bulgular: Cerrahi sonrası ortalama geçen süre 5,36±3,08 yıldı. El kavrama ve lateral kavrama güçleri, başparmak ve diğer parmakların TAH’ları ve PPT skoru replante edilmiş ekstremitede anlamlı olarak daha az bulundu (p0,05). Lateral kavrama gücü ile KMY arasında pozitif korelasyon, yaş ile KMY arasında negative korelasyon saptandı (p

🔖

Cite This Article

AKALIN, E., MANİSALI, M., ÖZKAN, M., DİLEK, B., GÜLBAHAR, S., BACAKOĞLU, K., KIZIL, R. (2022). Üst ekstremite replantasyon ve revaskülarizasyonu sonrası kemik mineral yoğunluğunun değerlendirilmesi. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, Cilt: 57 - Sayı: 2, 73–79. https://ajindex.com/articles/629017

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Chiu HY, Shieh SJ, Hsu HY. Multivariate analysis of factors influencing the functional recovery after finger replantation or revascularization. Microsurgery 1995;16:713-7
  2. Nagese T, Sekiguchi J, Ohmori K. Finger replantation in a 12-month-old child: a long-term follow-up. Br J Plast Surg 1996;49:555-8
  3. Bauer DC, Browner WS, Cauley JA, Orwoll ES, Scott JC, Black DM et al. Factors associated with appendicular bone mass in older women. Ann Intern Med 1993;118:657-65
  4. Halar EM, Bell KR. Immobility and inactivity: physiological and functional changes, prevention and treatment. In: Delisa JA (Ed.). Physical Medicine and Rehabilitation, Principles and Practice. Philadelphia: Lippincott Williams and Wilkins; 2005. p. 1447-67
  5. Schurman DJ, Moloney WJ, Smith RL. Localized Osteoporosis. Marcus R, Feldman D, Nelson D, Rosen C (Ed.). Osteoporosis. Boston:Elsevier 2008. p. 1417-34
  6. Buncke HJ, Jackson R, Buncke G, Chan SW. The surgical and rehabilitative aspects of replantation and revascularization of the hand. Hunter JM, Mackin EJ, Callahan AD (Ed.). Rehabilitation of the Hand Surgery and Therapy. St Louis: Mosby 1995. p. 1075-100
  7. Hoang NT. Hand replantations following complete amputations at the wrist joint: first experiences in Hanoi, Vietnam. J Hand Surg 2006;31:1:9-17
  8. Costa LD, Vaughan HG, Levita E, Faber N. Purdue Pegboard as a predictor of the presence and laterality of cerebral lesions J Consult Clin Psychol. 1963;27:133-7
  9. Kane JR, Gill P. Implications of the purdue pegboard as a screening device. J Learn Disabil 1993;547:36-40
  10. Thorpe JA, Steel SA. The Alara Metriscan phalangeal densitometer: evaluation and triage thresholds. Br J Radiol 2008;81:778-83
  11. Jacson A, Reilly M, Watson S. Wing limb replantation: a report of 5 cases. Skeletal Radiol 1992;21:155-9
  12. Blake GM, Fogelman I. Role of dual energy X-ray absorptiometry in the diagnosis and treatment of osteoporosis. J Clin Densitom 2007;10:102-10
  13. Jarvien M, Kannus P. Injury of an extremity as a risk factor for the development of osteoporosis. J Bone Surg 1997;79:263-76
  14. Ditsios K, Boyer MI, Kusano N, Gelberman RH, Silva MJ. Bone loss following tendon laceration, repair and passive mobilization. J Orthop Res 2003;21:990-6
  15. Boyer MI, Ditsios K, Gelberman RH, Leversedge F, Silva M. Repair of flexor digitorum profundus tendon avulsions from bone: an ex vivo biomechanical analysis. J Hand Surg 2002;27:594-8
  16. Blake GM, Chinn DJ, Steel SA, Patel R, Panayiotou