Prognostic factors for attempted finger replantation and revascularisation
Retrospective study published in J Hand Surg Asian Pac Vol (2023)
Abstract
Background: The aim of this study was to evaluate the impact of variant factors on finger replantation and revascularisation after traumatic amputation, which also included duty shift and the level of main operator. Methods: To determine the prognostic factors for the survival rate of finger replantation and revascularisation after traumatic finger amputation, we retrospectively reviewed the cases of finger replantation conducted from January 2001 to December 2017. Data collected consisted of the basic information of the patients, trauma-related factors, details of the operation and treatment outcomes. Descriptive statistics and data analysis was performed to assess outcomes. Results: In total, 150 patients with 198 replanted digits were enrolled in this study. The median age of the participants was 42.5 years, and 132 (88%) patients were men. The overall successful replantation rate was 86.4%. Seventy-three (36.9%) digits had Yamano type 1 injury; 110 (55.6%), Yamano type 2 injury and 15 (7.6%), Yamano type 3 injury. In total, 73 (36.9%) digits were completely amputated and 125 (63.1%) were not. Half of the replantation procedures (101, 51.0%) were performed during night shift (16:00-00:00), 69 (34.8%) during day shift (08:00-16:00) and 28 (14.1%) during graveyard shift (00:00-08:00). Multivariate logistic regression demonstrated that the trauma mechanism and type of amputation (complete vs. incomplete) significantly affect the survival rate of replantation. Conclusions: The trauma mechanism and type of amputation (complete vs. incomplete) significantly affect the survival rate of replantation. Other factors including duty shift and the level of operator did not reach statistically significance. Further studies must be conducted to validate the results of the current study. Level of Evidence: Level III (Prognostic).
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Zusammenfassung
Retrospective analysis of prognostic factors for attempted finger replantation and revascularization outcomes.
Warum dies für die Hirudotherapie relevant ist
Diese retrospektive Studie überprüfte 150 Patienten (198 Digiti), die sich über einen Zeitraum von 17 Jahren einer Fingerreplantation oder Revaskularisation unterzogen, und ermittelte eine Gesamterfolgsrate von 86,4 % sowie den Traumamechanismus und die Vollständigkeit der Amputation als signifikante prognostische Faktoren, während Dienstschicht und Operateur-Level nicht signifikant waren. Für das Fachgebiet von ASH ist der Artikel nur indirekt relevant – Fingerreplantation ist ein Kontext, in dem medizinische Blutegeltherapie unterstützend bei venöser Stauung eingesetzt werden kann – aber das Abstract erwähnt weder Blutegel noch Hirudotherapie. Die Studie konzentriert sich auf chirurgische und verletzungsbezogene prognostische Faktoren. Es werden keine direkten Belege zur Blutegeltherapie oder zum Blutegelsekretom präsentiert.
Zitation
Prognostic factors for attempted finger replantation and revascularisation.
Lu et al. · The journal of hand surgery Asian-Pacific volume, 2023
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