Prognostic factors on survival rate of fingers replantation

Acta ortopedica brasileira
José Queiroz LimaMarcelo Rosa de Rezende

Abstract

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

References

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Citations

Feb 25, 2017·Plastic and Reconstructive Surgery·Matthew BrownElham Mahmoudi
May 4, 2018·The Journal of Hand Surgery, European Volume·Tao WangJing-Yi Mi
Dec 15, 2017·Neural Regeneration Research·Zhao-Wei ZhuZeng-Tao Wang
Sep 26, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ana Tejedor NavarroCarlos Puente Alonso
Aug 12, 2021·The Journal of Hand Surgery·Patrick W HarbourAviram M Giladi

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Methods Mentioned

BETA
amputation
amputations

Software Mentioned

SPSS
Excel

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