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Original Article 


Factors that affect the outcomes of replantation at the distal level of finger

Melih Bağır, Akif Mirioğlu, Kaan Ali Dalkır, Mustafa Tekin, Ömer Sunkar Biçer, Cenk Özkan.

Abstract
Abstract
Aim: The aim of this study is to reveal the factors regarding patients, injury mechanism, and surgery which may affect the outcomes of the replantation at the distal level of finger.
Material and Methods: Nineteen fingers of 12 patients regardless from the ages of the patients were included into the study. Patients’ ages, genders, affected side and finger, and repaired neurovascular structures were enrolled. Outcome of the surgery and its relationship with the repaired vascular structures, injury mechanism and the level of the replantation was noted.
Findings: The mean age of the patients was 29.5 (13-66) years. Two (16.7%) patients were female, 10 (83.3%) were male and the average follow-up period was 13.1 ± 3.8 months. Sixteen (84.2%) of 19 replanted fingers were healed, and necrosis developed in 3 (15.8%) fingers. Only artery repair was performed in 10 (52.6%) fingers. In artery repair group, 5 of 7 fingers were succesful in Zone 1A and 1B, 2 of 3 fingers were succesful in Zone 1C and 1D. Vein repair was added in 9 (47.4%) fingers and all of these fingers were in Zone1C and 1D and successful results were obtained.
There was no statistically significant difference was found in the comparison between performing artery or artery and vein repair, type of injury and level (respectively p = 0.211, p = 0.999, p = 0.523).

Conclusion: Distal finger replantation is a successful intervention in terms of functional and cosmetic results, but various technical difficulties should be considered prior to the surgery.

Key words: Finger amputation, microsurgery, replantation


 
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How to Cite this Article
Pubmed Style

Melih Bağır| Akif Mirioğlu| Kaan Ali Dalkır| Mustafa Tekin| Ömer Sunkar Biçer| Cenk Özkan. Factors that affect the outcomes of replantation at the distal level of finger. Hand Microsurg. 2021; 10(2): 88-95. doi:10.5455/handmicrosurg.62757


Web Style

Melih Bağır| Akif Mirioğlu| Kaan Ali Dalkır| Mustafa Tekin| Ömer Sunkar Biçer| Cenk Özkan. Factors that affect the outcomes of replantation at the distal level of finger. http://handmicrosurgeryjournal.com/?mno=62757 [Access: August 19, 2021]. doi:10.5455/handmicrosurg.62757


AMA (American Medical Association) Style

Melih Bağır| Akif Mirioğlu| Kaan Ali Dalkır| Mustafa Tekin| Ömer Sunkar Biçer| Cenk Özkan. Factors that affect the outcomes of replantation at the distal level of finger. Hand Microsurg. 2021; 10(2): 88-95. doi:10.5455/handmicrosurg.62757



Vancouver/ICMJE Style

Melih Bağır| Akif Mirioğlu| Kaan Ali Dalkır| Mustafa Tekin| Ömer Sunkar Biçer| Cenk Özkan. Factors that affect the outcomes of replantation at the distal level of finger. Hand Microsurg. (2021), [cited August 19, 2021]; 10(2): 88-95. doi:10.5455/handmicrosurg.62757



Harvard Style

Melih Bağır| Akif Mirioğlu| Kaan Ali Dalkır| Mustafa Tekin| Ömer Sunkar Biçer| Cenk Özkan (2021) Factors that affect the outcomes of replantation at the distal level of finger. Hand Microsurg, 10 (2), 88-95. doi:10.5455/handmicrosurg.62757



Turabian Style

Melih Bağır| Akif Mirioğlu| Kaan Ali Dalkır| Mustafa Tekin| Ömer Sunkar Biçer| Cenk Özkan. 2021. Factors that affect the outcomes of replantation at the distal level of finger. Hand and Microsurgery, 10 (2), 88-95. doi:10.5455/handmicrosurg.62757



Chicago Style

Melih Bağır| Akif Mirioğlu| Kaan Ali Dalkır| Mustafa Tekin| Ömer Sunkar Biçer| Cenk Özkan. "Factors that affect the outcomes of replantation at the distal level of finger." Hand and Microsurgery 10 (2021), 88-95. doi:10.5455/handmicrosurg.62757



MLA (The Modern Language Association) Style

Melih Bağır| Akif Mirioğlu| Kaan Ali Dalkır| Mustafa Tekin| Ömer Sunkar Biçer| Cenk Özkan. "Factors that affect the outcomes of replantation at the distal level of finger." Hand and Microsurgery 10.2 (2021), 88-95. Print. doi:10.5455/handmicrosurg.62757



APA (American Psychological Association) Style

Melih Bağır| Akif Mirioğlu| Kaan Ali Dalkır| Mustafa Tekin| Ömer Sunkar Biçer| Cenk Özkan (2021) Factors that affect the outcomes of replantation at the distal level of finger. Hand and Microsurgery, 10 (2), 88-95. doi:10.5455/handmicrosurg.62757








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