Results of Replantation of 33 Ring Avulsion Amputations

Adani, Roberto; Pataia, Elisabetta; Tarallo, Luigi; Mugnai, Raffaele

doi:10.1016/j.jhsa.2013.02.014

Cited by 41 publications

(42 citation statements)

References 51 publications

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“…Others have suggested vein arterialization as a valid approach to re-establish the blood supply of a degloved finger — as long as physiologic circulation restoration is not possible and veins in the degloved tissue are not damaged. [3334]…”

Section: Introductionmentioning

confidence: 99%

The therapeutic challenges of degloving soft-tissue injuries

Latifi

Hennawy

El‐Menyar

et al. 2014

J Emerg Trauma Shock

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Background:Degloving soft-tissue injuries are serious and debilitating conditions. Deciding on the most appropriate treatment is often difficult. However, their impact on patients’ outcomes is frequently underestimated.Objectives: We aimed to study the incidence, clinical presentation, management and outcome of degloving soft-tissue injuries.Materials and Methods:We conducted a narrative traditional review using the key words; degloving injury and soft-tissue injuries through search engines PubMed, Science Direct, and Scopus.Results:There are several therapeutic options for treating degloving soft-tissue injuries; however, no evidence-based guidelines have been published on how to manage degloving soft-tissue injuries, although numerous articles outline the management of such injuries.Conclusion:Degloving soft-tissue injuries are underreported and potentially devastating. They require early recognition, and early management. A multidisciplinary approach is usually needed to ensure the effective rehabilitation of these patients.

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Section: Introductionmentioning

confidence: 99%

The therapeutic challenges of degloving soft-tissue injuries

Latifi

Hennawy

El‐Menyar

et al. 2014

J Emerg Trauma Shock

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“…This study evaluated 16 studies including 1,192 digital replant/revascularizations procedures. 14,16,19,20,[23][24][25][26][27][28][29][30][31][32][33][34] Studies were published between the years 1980 and 2016. Publications represented the following geographical locations: Italy, United States, United Kingdom, China, Taiwan, Singapore, Slovakia, Austria, Turkey, Japan, and India.…”

Section: Resultsmentioning

confidence: 99%

Etiology and Survival of Secondary Revascularizations after Hand and Digit Replantations

Shaterian¹,

Sayadi²,

Anderson³

et al. 2020

Journal of Hand and Microsurgery

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Objective Hand and digit replantations can be complicated by vascular insufficiency necessitating revision of the original replantation. To date, few studies have evaluated outcomes in secondary revascularizations following replantation. Therefore, the objective of this study was to evaluate the incidence, etiology, and survival rates following secondary revascularization after hand and digit replantations. Materials and Methods A literature search was performed on NCBI for studies documenting secondary revascularization procedures following hand and digit replant. Studies were evaluated for the etiology of vascular failure, frequency of secondary revascularization, and survival rates following intervention. Statistical analysis was conducted across the pooled dataset. Results A total of 16 studies including 1,192 amputations were analyzed. We found that 16.9% (201/1,192) of replants were complicated by vascular compromise. The frequency of vascular compromise was not statistically different between arterial and venous etiologies. The survival rate following secondary revascularization was 55.6%, with no significant difference between the arterial and venous groups. Secondary arterial revascularization was often treated with arterial revision (nine of nine studies) and/or with vein grafting (two of nine studies). Secondary revascularization for venous insufficiency resulted in different survival rates for nonsurgical modalities (58%) versus vein revision (37.5%) versus vein grafting (100%). Conclusion Survival rates following secondary revascularization are lower; however, they may be improved using vein grafts following venous insufficiency. These data can be used to better understand the etiology of replant failure and guide decision-making.

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“…The digital artery termination is emphasized in this system, where zone I is the most distal zone with almost no chance to suture arterial and venous vessels, and zone 2A and 2B extends to the distal end of distal and proximal arteries respectively. 13 Similarly, Allen's classification comprise of zone 1 to zone 3 which corresponds to the distal to lunula area seen in Tamai's zone 1. Zone 4 of Allen's classification entails the distal to distal interphalangeal joint area as depicted in Tamai's zone II.…”

Section: Anatomical Levelmentioning

confidence: 99%