Multivariate analysis of factors influencing the functional recovery after finger replantation or revascularization.
A multivariate statistical analysis was utilized to study the influence of the four preoperative (age, mechanism of injury, level of injury, and type of amputation) and one postoperative (rehabilitation) variables on the functional recovery of the replanted or revascularized finger. Statistically significant differences are summarized as follows. The young age group have a better functional recovery due to better sensory recovery than the old age group. The crush injury group have a better functional recovery, with better scores in motion and patient satisfaction, than the avulsion injury group. The middle phalangeal injury group have a better functional recovery, with better score in motion and sensation than the proximal phalangeal injury group. There is no statistically significant difference in functional recovery between the revascularized and replanted fingers, but there is a significantly better sensory recovery in the revascularized finger. The rehabilitation group has a better functional recovery, with better score in motion, subjective symptoms, and patient satisfaction, than the nonrehabilitation group.
Chiu
H Y
HY
Department of Surgery, National Cheng-Kung University Hospital, Tainan, Taiwan, Republic of China.
Shieh
S J
SJ
Hsu
H Y
HY
D000328:Adult; D000367:Age Factors; D000673:Amputation, Traumatic / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D016022:Case-Control Studies; D005260:Female; D005383:Finger Injuries / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D005385:Fingers / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D012092:Replantation / Q000534:rehabilitation / Q000706:statistics & numerical data; D012307:Risk Factors