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. 2015 Jan-Feb;23(1):16-8.
doi: 10.1590/1413-78522015230101026.

Prognostic factors on survival rate of fingers replantation

José Queiroz Lima Jr  1 , Alberto De Carli  1 , Hugo Alberto Nakamoto  1 , Gustavo Bersani  1 , Bruno Eiras Crepaldi  1 , Marcelo Rosa de Rezende  1
Affiliations

Prognostic factors on survival rate of fingers replantation

José Queiroz Lima Jr et al. Acta Ortop Bras. 2015 Jan-Feb.

Abstract

Objective: To evaluate the factors that influence the survival rate of replantation and revascularization of the thumb and/or fingers.

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 .

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.

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.

Keywords: Amputation, traumatic; Finger injuries; Replantation.

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Conflict of interest statement

All the authors declare that there is no potential conflict of interest referring to this article.

Figures

Figure 1.
Figure 1.. Mean age of patients.
Figure 2.
Figure 2.. Mean ischemia times.
See this image and copyright information in PMC

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