The Effect of Patient Age on the Success Rate of Digital Replantation

Kwon, Gi-Doo; Ahn, Byung-Moon; Lee, Jae-Sung; Park, Yong-Gum; Chang, Geun-Wu; Ha, Yong‐Chan

doi:10.1097/prs.0000000000002939

Cited by 28 publications

(25 citation statements)

References 12 publications

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“…Time to return to work 9,21,[26][27][28][29]37,39,[58][59][60] 6. Hand function 41,46,47,[59][60][61][63][64][65][66] 7. Work performance 46 Domain: quality of life 1.…”

Section: Occurrence Of Acral Lesions 20mentioning

confidence: 99%

“…Depression 62,64 4. Patient satisfaction 21,28,39,41,43,46,58,61,64 5. ADLs/disability 27,46,60,64,68,69 6.…”

Section: Occurrence Of Acral Lesions 20mentioning

confidence: 99%

“…Domain: sensory 1. Sensation 9,16,[19][20][21][23][24][25][26][27][28][29][30][31]37,39,41,46,47,53,57,60,61,63,68,70 2. Cold sensitivity 16,[18][19][20]24,27,37,39,41,65 3.…”

Section: Continuous Categoricalmentioning

confidence: 99%

“…Cold sensitivity 16,[18][19][20]24,27,37,39,41,65 3. Pain 17,19,24,31,41,43,45,47,61,64,68,70 4. Paraesthesia 39,41,43,61 5.…”

Section: Continuous Categoricalmentioning

confidence: 99%

“…16,17,19,22,26,28,32,33,35,[37][38][39][40][41][42][44][45][46][47][48][49][50][51][52][53][55][56][57] N N 2. Author-generated partial necrosis scale 16,27,[29][30][31]34,36,50,54,61 N N 3. Temperature by thermometer (Celsius) 9,16,17,19 N N 4.…”

Section: Continuous Categoricalmentioning

confidence: 99%

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Reporting Outcomes and Outcome Measures in Digital Replantation: A Systematic Review

Moltaji

Gallo

Wong

et al. 2020

Journal of Hand and Microsurgery

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Purpose There is a lack of consensus on what the critical outcomes in replantation are and how best to measure them. This review aims to identify all reported outcomes and respective outcome measures used in digital replantation. Materials and Methods Randomized controlled trials, cohort studies, and single-arm observational studies of adults undergoing replantation with at least one well-described outcome or outcome measure were identified. Primary outcomes were classified into six domains, and outcome measures were classified into eight domains. The clinimetric properties were identified and reported. A total of 56 observational studies met the inclusion criteria. Results In total, 29 continuous and 29 categorical outcomes were identified, and 87 scales and instruments were identified. The most frequently used outcomes were survival of replanted digit, sensation, and time in hospital. Outcomes and measures were most variable in domains of viability, quality of life, and motor function. Only eight measures used across these domains were validated and proven reliable. Conclusion Lack of consensus creates an obstacle to reporting, understanding, and comparing the effectiveness of various replantation strategies.

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“…Time to return to work 9,21,[26][27][28][29]37,39,[58][59][60] 6. Hand function 41,46,47,[59][60][61][63][64][65][66] 7. Work performance 46 Domain: quality of life 1.…”

Section: Occurrence Of Acral Lesions 20mentioning

confidence: 99%

“…Depression 62,64 4. Patient satisfaction 21,28,39,41,43,46,58,61,64 5. ADLs/disability 27,46,60,64,68,69 6.…”

Section: Occurrence Of Acral Lesions 20mentioning

confidence: 99%

“…Domain: sensory 1. Sensation 9,16,[19][20][21][23][24][25][26][27][28][29][30][31]37,39,41,46,47,53,57,60,61,63,68,70 2. Cold sensitivity 16,[18][19][20]24,27,37,39,41,65 3.…”

Section: Continuous Categoricalmentioning

confidence: 99%

“…Cold sensitivity 16,[18][19][20]24,27,37,39,41,65 3. Pain 17,19,24,31,41,43,45,47,61,64,68,70 4. Paraesthesia 39,41,43,61 5.…”

Section: Continuous Categoricalmentioning

confidence: 99%

Section: Continuous Categoricalmentioning

confidence: 99%

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Reporting Outcomes and Outcome Measures in Digital Replantation: A Systematic Review

Moltaji

Gallo

Wong

et al. 2020

Journal of Hand and Microsurgery

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Survival rates and risk factors for failure using an interposition vein graft for fingertip amputations with segmental vessel defects

Kwon¹,

Jung

Ahn³

et al. 2020

Microsurgery

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PurposeThis study aimed to compare survival rates and risk factors of replantation failures using an interposition vein graft in fingertip amputations with segmental vessel defects with those using simple end‐to‐end anastomosis in amputations.Patients and methodsBetween 2004 and 2015, 776 (647 males and 129 females) with single Zone I or II amputations of digits underwent replantation. Among these, simple end‐to‐end anastomosis was performed in 698 replantations, while interposition vein grafts were used for either arterial or venous repair or both in 78 amputated fingertips. The survival rate was compared between the groups. Logistic regression analysis was performed to identify risk factors predicting replantation failure in all study subjects.ResultsAmong 776 replantations, 713 (91.9%) survived. At latest follow‐up, of 698 cases in the simple anastomosis group, 650 (93.1%) survived; of 78 cases in the vein graft group, 63 (80.8%) survived (p > .001). Logistic regression analysis revealed that avulsion type (odds ratio [OR] 3.121; 95% confidence interval [CI], 1.211–8.064; p = .018) and zone II amputation (OR, 2.370; 95% CI, 1.382–4.065; p = .002) were significant risk factors for replantation failure.ConclusionThis study demonstrates that the survival rate (80.8%) of the vein graft in fingertip amputation with segmental vessel defects was shown to be a possible option to increase the survival rates in case with segmental vessel defects where simple anastomosis could not be performed. However, avulsion type and zone II amputation are important risk factors of replantation failures.

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