title: Secondary surgery after digit replantation: its incidence and sequence.
abstract: This article discusses the incidence and sequence of secondary procedures following digital replantation. In published series addressing this topic, the overall frequency of postreplantation surgery ranged from 2.9-93.2%. Tendon procedures accounted for 47.2% of cases, and comprised the leading type of secondary operations. Tendon procedures were followed by joint procedures (18.9%), skeletal stabilization (12%), skin coverage (11.4%), nerve reconstruction (8.9%), and late amputation (1.6%). The number of secondary procedures per patient averaged from 1-4.5, depending on prioritization of different procedures. The order of restoration procedures should be as follows: supple skin coverage, skeletal stability, and protective and proprioceptive sensation. Joint reconstruction follows these procedures, which in turn is followed by tendon reconstruction.
authors.affiliation: Division of Plastic Surgery, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, USA. fzhang@surgery.umsmed.edu
authors.forename: Huan
authors.initials: H
authors.lastname: Wang
mesh_terms: D005260:Female; D005383:Finger Injuries / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008297:Male; D008866:Microsurgery / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery; D020127:Recovery of Function; D012086:Reoperation / Q000379:methods / Q000706:statistics & numerical data; D012092:Replantation / Q000009:adverse effects / Q000379:methods*; D012307:Risk Factors; D013710:Tendons / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome