Immediate Versus Overnight-Delayed Digital Replantation: Comparative Retrospective Cohort Study of Survival Outcomes

The Journal of Hand Surgery
Pedro C CavadasAlberto Pérez-Espadero

Abstract

Ischemia time has been traditionally considered a critical factor in replantation survival rate. The objective of this study was to compare the survival rate between immediate and overnight-delayed digital replantation. We performed a retrospective cohort study of all digital replantations performed at our clinic between 2005 and 2016. The survival rate was compared between the immediate digital replantation group (immediate replantation group) and those that were replanted the morning after they were admitted to the hospital (overnight-delayed replantation group). The decision to delay the replant was made in cases admitted in the evening with less than 12 hours of previous ischemia time and without farm-related contamination. Five hundred ninety-seven digital replantations (456 patients) were analyzed. One hundred eighty-five (31%) digital replantations were performed the following day (delayed replantation group) and 412 (69%) digital replantations were performed the same day that they were admitted to the hospital (immediate replantation group). The overall survival rate was 91.9% (549 of 597). In the immediate replantation group, the survival rate was 91.2% (376 of 412) and in the delayed replantation group, the survival r...Continue Reading

Citations

Sep 14, 2018·The Journal of Hand Surgery, European Volume·Marybeth EzakiScott N Oishi
Mar 21, 2019·The Journal of Bone and Joint Surgery. American Volume·Christopher J Dy
Nov 7, 2019·The Journal of Hand Surgery Asian-Pacific Volume·Cedric Emanuel BoeschFabian Medved
Oct 9, 2019·Plastic and Reconstructive Surgery. Global Open·Alessandro ThioneElena García-Vilariño
Dec 4, 2019·JAMA Network Open·Alfred P YoonUNKNOWN Finger Replantation and Amputation Challenges in Assessing Impairment, Satisfaction, and Effectiveness (FRANCHISE) Group
Jun 27, 2019·The Journal of Hand Surgery, European Volume·Sang Hyun WooYoung Woo Kim
Nov 7, 2019·Plastic and Reconstructive Surgery·Sang Hyun Woo
Dec 11, 2020·Plastic and Reconstructive Surgery. Global Open·Bert VanmierloJean Goubau
Aug 14, 2021·The Journal of Hand Surgery, European Volume·Matthew FlorczynskiHeather Baltzer
Aug 12, 2021·The Journal of Hand Surgery·Patrick W HarbourAviram M Giladi
Oct 9, 2021·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Burak Sercan ErçinFatih Kabakaş

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