Survival factors in digital replantation: significance of postoperative anaemia.
Two hundred and fifty-two consecutive digital replantations and revascularizations in 201 patients were retrospectively reviewed to determine factors influencing survival. Children under 9 years of age, women, complete amputations, blood transfusions and secondary thrombectomy were poor prognostic factors. In addition, low haemoglobin and haematocrit levels during the postoperative period were associated with a higher failure rate. Inappropriate use of anticoagulants and excessive postoperative anaemia should be avoided following replantation.
Niibayashi
H
H
Department of Orthopaedic Surgery, Kobe City General Hospital, Kobe, Japan. hiroshi_niibayashi@medical.general.hp.city.kobe.jp
Tamura
K
K
Fujiwara
M
M
Ikeda
N
N
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery; D000740:Anemia / Q000175:diagnosis*; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis*; D011379:Prognosis; D012092:Replantation; D012189:Retrospective Studies; D013933:Thumb / Q000098:blood supply / Q000293:injuries / Q000601:surgery