title: Secondary procedures following digital replantation and revascularisation.
abstract: In this retrospective study, 79 digits of 55 patients received 102 secondary procedures following replantation. We divided the procedures into two groups, occurring before or after 2 months following replantation. The procedures in the early group were mainly for soft tissue coverage (92%), and those in that late group were mainly for tendon (67%) to improve function. Factors associated with higher incidence of early secondary procedures included multiple-finger injury, avulsion or degloving injury and level of injury proximal to zone III in finger replantation (p<0.05). However, younger patients and those with proximal level replantation in fingers had more late secondary procedures (p<0.05). Flexor tenolysis procedure significantly improved the digital function after replantation (p<0.05).
authors.affiliation: Division of Plastic Surgery, Department of Surgery, National Cheng-Kung University Hospital, 138, Sheng-Li Road, 70428, Tainan, Taiwan, ROC.
authors.forename: J-C
authors.initials: JC
authors.lastname: Yu
authors.forename: S-J
authors.initials: SJ
authors.lastname: Shieh
authors.forename: J-W
authors.initials: JW
authors.lastname: Lee
authors.forename: H-Y
authors.initials: HY
authors.lastname: Hsu
authors.forename: H-Y
authors.initials: HY
authors.lastname: Chiu
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000601:surgery*; D006225:Hand / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D012092:Replantation / Q000379:methods*; D012189:Retrospective Studies; D017695:Soft Tissue Injuries / Q000601:surgery; D013708:Tendon Injuries / Q000601:surgery*; D013710:Tendons / Q000601:surgery