Effects of non-surgical factors on digital replantation survival rate: a meta-analysis.
This study aimed to evaluate the risk factors affecting survival rate of digital replantation by a meta-analysis. A computer retrieval of MEDLINE, OVID, EMBASE, and CNKI databases was conducted to identify citations for digital replantation with digit or finger or thumb or digital or fingertip and replantation as keywords. RevMan 5.2 software was used to calculate the pooled odds ratios. In total, there were 4678 amputated digits in 2641 patients. Gender and ischemia time had no significant influence on the survival rate of amputation replantation (P > 0.05). Age, injured hand, injury type, zone, and the method of preservation the amputated digit significantly influence the survival rate of digital replantation (P < 0.05). Children, right hand, crush, or avulsion and little finger are the risk factors that adversely affect the outcome.
Level 5*.
Department of Orthopedics, Huazhong University of Science and Technology, Wuhan, China.
Z
Z
Ma
Department of Orthopedics, Huazhong University of Science and Technology, Wuhan, China 82099179@qq.com.
F
F
Guo
Department of Orthopedics, Huazhong University of Science and Technology, Wuhan, China.
J
J
Qi
Department of Orthopedics, Huazhong University of Science and Technology, Wuhan, China.
W
W
Xiang
Department of Orthopedics, Huazhong University of Science and Technology, Wuhan, China.
J
J
Zhang
D000673:Amputation, Traumatic; D005383:Finger Injuries / Q000601:surgery*; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D012092:Replantation; D012307:Risk Factors
Digital replantation; meta-analysis; non-surgical factors; survival rate