J Reconstr Microsurg 2011; 27(8): 475-480
DOI: 10.1055/s-0031-1284232
© Thieme Medical Publishers

Anxiety and Trauma Perception and Quality of Life in Patients Who Have Undergone Replantation

Alper Gokce1 , Halil Bekler2 , Ercan Karacaoglu3 , Erkan Servet2 , Nevzat Selim Gokay1
  • 1Department of Orthopaedics and Traumatology, Namik Kemal University, School of Medicine, Istanbul, Turkey
  • 2Department of Orthopaedics and Traumatology, Yeditepe University, School of Medicine, Istanbul, Turkey
  • 3Department of Plastic and Reconstructive Surgery, Yeditepe University, School of Medicine, Istanbul, Turkey
Further Information

Publication History

Publication Date:
27 July 2011 (online)

ABSTRACT

The difficulty in keeping an amputated limb biologically alive is overcome day by day thanks to the successful replantation procedures applied in the early period. However, the reflections of this biological success on patients in functional and psychological terms may not be pleasing all the time. In our study, we aimed to evaluate the perceptual responses of patients to trauma after replantation and their possible effects on clinical results. We conducted a retrospective study of 43 patients who underwent replantation. The average age was 32.4 years and the average follow-up period was 38.6 months. When the results of the Short Form-36 (SF-36), Beck's Depression Inventory, and the assessment scores of the disabilities of the arm, shoulder, and hand survey were evaluated, there was a negative correlation between the patients diagnosed with depression and all SF-36 subunits. A negative correlation between the severity of trauma and the average physical and mental values included in the SF-36 evaluations was observed (r = 0.48, r = 0.51, respectively),. These results revealed that the psychology of the patient was one of the important factors that could not be ignored in the success of replantation.

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Nevzat Selim GokayM.D. 

Bulbul Cad. Badem:13, Villa:1, 34538

Bahçeşehir, Istanbul, Turkey

Email: nevzatselim@yahoo.com

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