Yıl: 2021 Cilt: 10 Sayı: 2 Sayfa Aralığı: 88 - 95 Metin Dili: İngilizce DOI: 10.5455/handmicrosurg.62757 İndeks Tarihi: 22-05-2022

Factors that affect the outcomes of replantation at the distal level of finger

Öz:
Aim: The aim of this study is to reveal the factors regarding patients, injury mechanism, and surgery which may affect the outcomes of the replantation at the distal level of finger. Material and Methods: Nineteen fingers of 12 patients regardless from the ages of the patients were included into the study. Patients’ ages, genders, affected side and finger, and repaired neurovascular structures were enrolled. Outcome of the surgery and its relationship with the repaired vascular structures, injury mechanism and the level of the replantation was noted. Findings: The mean age of the patients was 29.5 (13-66) years. Two (16.7%) patients were female, 10 (83.3%) were male and the average follow-up period was 13.1 ± 3.8 months. Sixteen (84.2%) of 19 replanted fingers were healed, and necrosis developed in 3 (15.8%) fingers. Only artery repair was performed in 10 (52.6%) fingers. In artery repair group, 5 of 7 fingers were succesful in Zone 1A and 1B, 2 of 3 fingers were succesful in Zone 1C and 1D. Vein repair was added in 9 (47.4%) fingers and all of these fingers were in Zone1C and 1D and successful results were obtained. There was no statistically significant difference between performing artery or artery and vein repair, type of injury and level (p = 0.211, p = 0.999, p = 0.523, respectively). Conclusion: Distal finger replantation is a successful intervention in terms of functional and cosmetic results, but various technical difficulties should be considered prior to the surgery.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Komatsu S, Tamai S. Successful replantation of a completely cut-off thumb. Plast Reconstr Surg 1968;42:374–7. 2.
  • Hattori Y, Doi K, Ikeda K, Estrella EP. A retrospective study of functional outcomes after successful replantation versus amputation closure for single fingertip amputations. J Hand Surg Am 2006;31:811-8. 3.
  • Patradul A, Ngarmukos C, Parkpian V. Distal digital replantations and revascularizations. 237 digits in 192 patients. J Hand Surg Br 1998;23:578-82. 4.
  • Wolfe VM, Wang AA. Replantation of the upper extremity: current concepts. J Am Acad Orthop Surg 2015;23:373-81. 5.
  • Jazayeri L, Klausner JQ, Chang J. Distal digital replantation. Plast Reconstr Surg 2013;132:1207-17. 6.
  • Urbaniak JR, Roth JH, Nunley JA, Goldner RD, Koman LA. The results of replantation after amputation of a single finger. J Bone Joint Surg Am 1985;67:611-9. 7.
  • Sebastin SJ, Chung KC. A systematic review of the outcomes of replantation of distal digital amputation. Plast Reconstr Surg 2011;128:723-37. 8.
  • z RB, Friedrich JB. Upper extremity replantation: current concepts. Plast Reconstr Surg 2014;133:333-42. 9.
  • Berlin NL, Tuggle CT, Thomson JG, Au A. Digit replantation in children: a nationwide analysis of outcomes and trends of 455 pediatric patients. Hand NY 2014;9:244-52. 10.
  • Mersa B, Kabakas F, Pürisa H, Özçelik IB, Yeşiloğlu N, Sezer I. Advantages of using volar vein repair in finger replantations. J Plast Reconstr Aesthet Surg 2014;67:63-7. 11.
  • Huang HF, Yeong EK. Surgical treatment of distal digit amputation: success in distal digit replantation is not dependent on venous anastomosis. Plast Reconstr Surg 2015;135:174-8. 12.
  • Chen YC, Chan FC, Hsu CC, Lin YT, Chen CT, Lin CH. Fingertip replantation without venous anastomosis. Ann Plast Surg 2013;70:284-8. 13.
  • Jerosch-Herold C. Measuring outcome in median nerve injuries. J Hand Surg Br 1993;18:624-8. 14.
  • Ozçelik IB, Purisa H, Sezer I, Mersa B, Aydin A. The results of digital replantations at the level of the distal interphalangeal joint and the distal phalanx. Acta Orthop Traumatol Turc 2006;40:62-6. 15.
  • May JW Jr, Toth BA, Gardner M. Digital replantation distal to the proximal interphalangeal joint. J Hand Surg Am 1982;7:161-6. 16.
  • Zhu H, Bao B, Zheng X. A comparison of functional outcomes and therapeutic costs: single-digit replantation versus revision amputation. Plast Reconstr Surg 2018;141:244e-249e. 17.
  • Akyürek M, Safak T, Keçik A. Fingertip replantation at or distal to the nail base: use of the technique of artery-only anastomosis. Ann Plast Surg 2001;46:605-12. 18.
  • Kayalar M, Güntürk ÖB, Gürbüz Y, Toros T, Sügün TS, Ademoğlu Y. Survival and comparison of external bleeding methods in artery-only distal finger replantations. J Hand Surg Am 2020;45:256.e1-256.e6. 19.
  • Hattori Y, Doi K, Ikeda K, Abe Y, Dhawan V. Significance of venous anastomosis in fingertip replantation. Plast Reconstr Surg 2003;111:1151-8. 20.
  • Kim WK, Lim JH, Han SK. Fingertip replantations: clinical evaluation of 135 digits. Plast Reconstr Surg 1996;98:470-6. 21.
  • Wong C, Ho PC, Tse WL, Cheng S, Chan DK, Hung LK. Do we need to repair the nerves when replanting distal finger amputations? J Reconstr Microsurg 2010;26:347-54. 22.
  • Hayashi K, Hattori Y, Chia DSY, Sakamoto S, Doi K. Long-term outcomes of successful fingertip replantation: a follow-up of at least 10 years. Plast Reconstr Surg 2020;146:1059-69. 23.
  • Shi D, Qi J, Li D, Zhu L, Jin W, Cai D. Fingertip replantation at or beyond the nail base in children. Microsurgery 2010;30:380-5. 24.
  • Wu F, Shen X, Eberlin KR, Sun Z, Zhou X, Xue M. The use of arteriovenous anastomosis for venous drainage during Tamai zone I fingertip replantation. Injury 2018;49:1113-8.
APA BAGİR M, MİRİOGLU A, DALKİR K, tekin m, BİCER O, OZKAN C (2021). Factors that affect the outcomes of replantation at the distal level of finger. , 88 - 95. 10.5455/handmicrosurg.62757
Chicago BAGİR Melih,MİRİOGLU Akif,DALKİR Kaan Ali,tekin mustafa,BİCER Omer Sunkar,OZKAN Cenk Factors that affect the outcomes of replantation at the distal level of finger. (2021): 88 - 95. 10.5455/handmicrosurg.62757
MLA BAGİR Melih,MİRİOGLU Akif,DALKİR Kaan Ali,tekin mustafa,BİCER Omer Sunkar,OZKAN Cenk Factors that affect the outcomes of replantation at the distal level of finger. , 2021, ss.88 - 95. 10.5455/handmicrosurg.62757
AMA BAGİR M,MİRİOGLU A,DALKİR K,tekin m,BİCER O,OZKAN C Factors that affect the outcomes of replantation at the distal level of finger. . 2021; 88 - 95. 10.5455/handmicrosurg.62757
Vancouver BAGİR M,MİRİOGLU A,DALKİR K,tekin m,BİCER O,OZKAN C Factors that affect the outcomes of replantation at the distal level of finger. . 2021; 88 - 95. 10.5455/handmicrosurg.62757
IEEE BAGİR M,MİRİOGLU A,DALKİR K,tekin m,BİCER O,OZKAN C "Factors that affect the outcomes of replantation at the distal level of finger." , ss.88 - 95, 2021. 10.5455/handmicrosurg.62757
ISNAD BAGİR, Melih vd. "Factors that affect the outcomes of replantation at the distal level of finger". (2021), 88-95. https://doi.org/10.5455/handmicrosurg.62757
APA BAGİR M, MİRİOGLU A, DALKİR K, tekin m, BİCER O, OZKAN C (2021). Factors that affect the outcomes of replantation at the distal level of finger. Hand and Microsurgery, 10(2), 88 - 95. 10.5455/handmicrosurg.62757
Chicago BAGİR Melih,MİRİOGLU Akif,DALKİR Kaan Ali,tekin mustafa,BİCER Omer Sunkar,OZKAN Cenk Factors that affect the outcomes of replantation at the distal level of finger. Hand and Microsurgery 10, no.2 (2021): 88 - 95. 10.5455/handmicrosurg.62757
MLA BAGİR Melih,MİRİOGLU Akif,DALKİR Kaan Ali,tekin mustafa,BİCER Omer Sunkar,OZKAN Cenk Factors that affect the outcomes of replantation at the distal level of finger. Hand and Microsurgery, vol.10, no.2, 2021, ss.88 - 95. 10.5455/handmicrosurg.62757
AMA BAGİR M,MİRİOGLU A,DALKİR K,tekin m,BİCER O,OZKAN C Factors that affect the outcomes of replantation at the distal level of finger. Hand and Microsurgery. 2021; 10(2): 88 - 95. 10.5455/handmicrosurg.62757
Vancouver BAGİR M,MİRİOGLU A,DALKİR K,tekin m,BİCER O,OZKAN C Factors that affect the outcomes of replantation at the distal level of finger. Hand and Microsurgery. 2021; 10(2): 88 - 95. 10.5455/handmicrosurg.62757
IEEE BAGİR M,MİRİOGLU A,DALKİR K,tekin m,BİCER O,OZKAN C "Factors that affect the outcomes of replantation at the distal level of finger." Hand and Microsurgery, 10, ss.88 - 95, 2021. 10.5455/handmicrosurg.62757
ISNAD BAGİR, Melih vd. "Factors that affect the outcomes of replantation at the distal level of finger". Hand and Microsurgery 10/2 (2021), 88-95. https://doi.org/10.5455/handmicrosurg.62757