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Prognostic factors on survival rate of fingers replantation.

Prognostic factors on survival rate of fingers replantation.

Authors :
Lima JQ Jr
Carli AD
Nakamoto HA
Bersani G
Crepaldi BE
de Rezende MR
Source :
Acta ortopedica brasileira [Acta Ortop Bras] 2015 Jan-Feb; Vol. 23 (1), pp. 16-8.
Publication Year :
2015

Abstract

Objective: To evaluate the factors that influence the survival rate of replantation and revascularization of the thumb and/or fingers.<br />Methods: 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 .<br />Results: 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.<br />Conclusion: 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.

Details

Language :
English
ISSN :
1413-7852
Volume :
23
Issue :
1
Database :
MEDLINE
Journal :
Acta ortopedica brasileira
Publication Type :
Academic Journal
Accession number :
26327788
Full Text :
https://doi.org/10.1590/1413-78522015230101026