Analysis of the Risk Factors Associated with Vascular Crisis after the Digits Replantation

Ze-zu MENG; Hang XIAN; Xiao-jin HOU; Shi-lei WEI; Ji MA; Rui ZHAO; Rui Cong

doi:10.12259/j.issn.2095-610X.S20210122

Volume 42 Issue 1

Jan. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(1): 130-134

Ze-zu MENG, Hang XIAN, Xiao-jin HOU, Shi-lei WEI, Ji MA, Rui ZHAO, Rui Cong. Analysis of the Risk Factors Associated with Vascular Crisis after the Digits Replantation[J]. Journal of Kunming Medical University, 2021, 42(1): 130-134. doi: 10.12259/j.issn.2095-610X.S20210122

Citation:

Ze-zu MENG, Hang XIAN, Xiao-jin HOU, Shi-lei WEI, Ji MA, Rui ZHAO, Rui Cong. Analysis of the Risk Factors Associated with Vascular Crisis after the Digits Replantation[J]. Journal of Kunming Medical University, 2021, 42(1): 130-134. doi: 10.12259/j.issn.2095-610X.S20210122

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Analysis of the Risk Factors Associated with Vascular Crisis after the Digits Replantation

doi: 10.12259/j.issn.2095-610X.S20210122

Ze-zu MENG^{1, 2},
Hang XIAN²,
Xiao-jin HOU¹,
Shi-lei WEI¹,
Ji MA²,
Rui ZHAO²,
Rui Cong^{2
,
,}

1.
Dept. of Orthopedics，Xianyang Hospital，Yan’an University，Xianyang Shaanxi 712000
2.
Dept. of Orthopedics，The First Affiliated Hospital of Air Force Medical University，Xi’an Shaanxi 710032，China

Received Date: 2020-06-23
Publish Date: 2021-01-25

Abstract

Abstract

Objective To investigate the risk factors associated with the vascular crisis after the digits replantation and provide the evidence for the improvement of the replantation survival rate. Methods From Jan. 2016 to Dec. 2018, 26 cases（29 digits）suffered by digit amputation were collected and analyzed retrospectively. Survival rate of replantation was summarized and functional evaluation was performed at the last follow-up. Statistical methods were used to analyze the risk factors associated with vascular crisis after digits replantation. Results 25 cases（28 digits）were followed up and the follow-up period raged from 9 to 28 months（mean 18.4 months）. 25 cases（28 digits）survived during the last follow-up, and the standard evaluation of digits replantation function of Chinese medical association hand surgery branch was used to evaluate the function. 16 digits function was excellent, 5 digits good, 4 digits better and 3 digits poor, and the rate of excellent and good was 75%. There were statistically significant differences between the vascular crisis group and non-vascular crisis group during the process of injury-operation time, vein transplantation and functional evaluation（P < 0.05）. Conclusion There are many factors affecting the survival of digits replantation. Strictly shortening the time interval from injury to operation and improving the quality of vein transplantation can reduce the occurrence of vascular crisis and finally improve the survival rate of the replanted digit.
- Digit amputation,
- Replantation,
- Vascular crisis,
- Survival rate,
- Risk factor

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References(16)

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