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.
Резюме
Retrospective analysis of prognostic factors for attempted finger replantation and revascularization outcomes.
Почему это важно для гирудотерапии
Данное ретроспективное исследование охватывает 150 пациентов (198 пальцев), перенёсших реплантацию или реваскуляризацию пальцев в течение 17-летнего периода; общая частота успеха составила 86,4%, а механизм травмы и полнота ампутации были идентифицированы как значимые прогностические факторы, тогда как дежурная смена и уровень квалификации оператора значимыми не являлись. Для сферы интересов ASH статья релевантна лишь косвенно — реплантация пальцев представляет собой контекст, в котором лечебная гирудотерапия может применяться в качестве адъювантного метода при венозном застое, — однако в реферате не упоминаются пиявки или гирудотерапия. Исследование сосредоточено на хирургических и связанных с травмой прогностических факторах. Прямых данных, касающихся пиявочной терапии или секрета слюнных желёз пиявок, не представлено.
Цитирование
Prognostic factors for attempted finger replantation and revascularisation.
Lu et al. · The journal of hand surgery Asian-Pacific volume, 2023
Связанный клинический контекст
Узнайте, как это исследование связано с клинической практикой
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