Long term follow-up after finger replantation

Abstract

The aim of this retrospective study was to assess objective and subjective aspects of the long-term results of finger replantations and revascularisations. Forty patients with 59 successfully replanted or revascularised fingers, who had a mean age of 38 years, were followed-up over an average of 3.5 years. The assessment included: the profile of the blood flow in the digital arteries of replanted fingers with Doppler ultrasound, active range of motion, total grip strength, pinch grip, static two-point discrimination test and Semmes-Weinstein monofilament testing. The dexterity of the hand was evaluated subjectively with the Carlsson's questionnaire and cold intolerance with a modified McCabe's questionnaire. Statistical analysis was performed and a statistically significant correlation was found between the Carlsson's functional score, active range of motion and total grip strength. In 28 fingers (74%), blood flow in the digital arteries showed an undisturbed profile, while ten fingers showed mild stenosis or impaired microcirculation.