A four-year community hospital experience regarding procedures for the replantation and revascularization of fingers
Retrospective study published in Jt Dis Relat Surg (2021)
Abstract
OBJECTIVES: This study aims to evaluate the clinical results and experiences in a community hospital regarding procedures for the replantation and revascularization of fingers. PATIENTS AND METHODS: Between June 2015 and December 2019, a total of 58 patients (51 males, 7 females; mean age: 33.4±6.3 years; range, 23 to 46 years) who were followed after total and/or subtotal amputation and replantation were retrospectively analyzed. The patients were evaluated at nine months in terms of cold intolerance, static two-point discrimination, and functional results using the range of motion (ROM) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. RESULTS: The majority of the patients presented with work-related injuries (70%), most commonly by the mechanism of guillotine (64%), and to the dominant hand (76%) and the third finger (36%) most frequently. The overall success rate of digit salvage was 72.9% (n=51). Of 19 digits with unsuccessful surgical outcomes, seven were from total and 12 were from subtotal amputations. In the long-term, cold intolerance was observed in 14 patients (24.1%) according to the cold intolerance severity scale. The mean static two-point discrimination value was 6.0±0.7 mm and the mean QuickDASH score was 22.3±5.0. The mean ROM measured at nine months after surgery in the metacarpophalangeal and interphalangeal joints of the third and fourth digits was significantly lower than that in the others (p<0.05). CONCLUSION: The predictors of survival of a replanted digit indicated in this study can be used as a guide and decision-making aid for any attempts for replantation.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Summary
A retrospective four-year study at a community hospital analyzed 58 patients after finger replantation or revascularization following total or subtotal amputation, evaluated at nine months; overall digit salvage success was 72.9%, with cold intolerance in 24.1% of patients.
Context
This retrospective study analyzed 58 patients who underwent finger replantation or revascularization at a community hospital over four years, reporting a 72.9% overall digit salvage success rate and providing data on cold intolerance, two-point discrimination, and functional outcomes. The study makes no mention of leech therapy, hirudotherapy, or venous congestion management. The article focuses entirely on surgical technique and outcomes predictors for digit replantation without addressing any adjunctive biological therapies.
Citation
Reference (Vancouver style)
Gürbüz K, Yontar Y. A four-year community hospital experience regarding procedures for the replantation and revascularization of fingers. Jt Dis Relat Surg. 2021;32(2):383-390. doi:10.52312/jdrs.2021.32. PMID: 34145815
Bibliographic details (authors, volume, pages, DOI) are taken from the PubMed record.
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