Single- versus double-artery repair without vein anastomosis in Tamai I fingertip replantations: a retrospective cohort study

被引：0

作者：

Ozcelik, Ismail Bulent ^{[1
,2
]}

Kabakas, Fatih ^{[3
]}

Mersa, Berkan ^{[1
,2
]}

Purisa, Husrev ^{[4
]}

Sezer, Ilker ^{[4
]}

Jusoh, Mohd Hanifah ^{[5
]}

机构：

[1] Yeniyuzyil Univ, Dept Hand & Reconstruct Microsurg, Gaziosmanpasa Hosp, Istanbul, Turkiye

[2] Nisantasi Univ, Sch Hlth Sci, Istanbul, Turkiye

[3] Gebze Med Pk Hosp, Hand Surg Unit, Gebze, Turkiye

[4] Bahcesehir Liv Hosp, Hand Surg Unit, Istanbul, Turkiye

[5] Univ Sains Malaysia, Sch Med Sci, Dept Orthoped, Hand & Microsurg Unit, Jalan Raja Perempuan Zainab II, Kelantan, Malaysia

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2025年 / 50卷 / 02期

关键词：

Anastomosis; fingertip amputation; fingertip replantation; hand surgery; Tamai zone I; external bleeding; VENOUS DRAINAGE; DISTAL; SURVIVAL;

D O I：

10.1177/17531934241264651

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The aim of the study was to report outcomes of fingertip replantations in Tamai zone I without vein anastomosis. The success rate and need for external bleeding between patients who underwent single and double-artery repair were compared. In this retrospective multicentre study, 144 replantations were carried out with a single-artery repair and 35 with a double-artery repair. The difference between the success of replantation in these two groups was not statistically significant: 108 (75%) in the single-artery group and 29 (83%) in the double-artery group. External bleeding was more frequently needed in the single-artery repair group (n = 135, 94%) than in the double-artery repair group (n = 6, 17%). Although there was no statistical difference in replantation success, performing double-artery repair may be more beneficial as there was less need for external bleeding and as a result complications associated with external bleeding can be avoided.Level of evidence: III

引用

页码：208 / 213

页数：6

共 23 条

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