Prognostic Factors on Survival Rate of Fingers Replantation

Overview

Journal Acta Ortop Bras

Specialty Orthopedics

Date 2015 Sep 2

PMID 26327788

Citations 9

Authors

Jose Queiroz Lima Jr

Alberto De Carli

Hugo Alberto Nakamoto

Gustavo Bersani

Bruno Eiras Crepaldi

Marcelo Rosa de Rezende

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the factors that influence the survival rate of replantation and revascularization of the thumb and/or fingers.

Methods: We included fifty cases treated in our department from May 2012 to October 2013 with total or partial finger amputations, which had blood perfusion deficit and underwent vascular anastomosis. The parameters evaluated were: age, gender, comorbidities, trauma, time and type of ischemia, mechanism, the injured area, number of anastomosed vessels and use of vein grafts. The results were statistically analyzed and type I error value was set at p <0.05 .

Results: Fifty four percent of the 50 performed replantation survived. Of 15 revascularizations performed, the survival rate was 93.3%. The only factor that affected the survival of the amputated limb was the necessity of venous anastomosis.

Conclusion: We could not establish contraindications or absolute indications for the replantation and revascularization of finger amputations in this study. Level of Evidence III, Retropective Study.

Citing Articles

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A Challenging Case of Thumb Replantation Aided by Intraoperative Indocyanine Green Fluorescence Angiography.

Budini V, Costa A, Sofo G, Bassetto F, Vindigni V Plast Reconstr Surg Glob Open. 2024; 12(3):e5670.

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Microsurgical Digits Replantation in Resource-Limited Setting: A Retrospective Study.

Altam A, Obadiel Y, Alazaiza R, Alshujaa M, Alhajami F, Ahmed F Open Access Emerg Med. 2024; 16:1-13.

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Association Between Daytime vs Overnight Digit Replantation and Surgical Outcomes.

Lin I, Yoon A, Kong L, Wang L, Chung K JAMA Netw Open. 2022; 5(9):e2229526.

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Transplantation of a Free Vascularized Joint Flap from the Second Toe for the Acute Reconstruction of Defects in the Thumb and other Fingers.

Ju J, Li L, Hou R Indian J Orthop. 2019; 53(2):357-365.

PMID: 30967709 PMC: 6415561. DOI: 10.4103/ortho.IJOrtho_200_17.

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