Evidence map›Paper›PMID 40182872›Full record

ArticleJournal of hand surgery global online2025

Retrospective Analysis of Functional Outcome of Distal Fingertip Replants Without Heparin.

N Jithendran, J Terrence Jose Jerome

Abstract read
In one paragraph

Article in Journal of hand surgery global online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

N JithendranTrustwell Hospitals, Bangalore, India.
J Terrence Jose JeromeDepartment of Orthopedics, Hand, and Reconstructive Microsurgery, Olympia Hospital & Research Centre, Tamilnadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study reviews distal fingertip replants without heparin, aiming to assess their functional outcomes. Methods: This retrospective study reviewed all patients who underwent distal fingertip replants in two specialized hand surgery center over 7 years (2016-2023). Patient demographics, injury mechanism, ischemia time, complications, and functional outcomes were analyzed. The functional outcomes were assessed using the Fingertip Injuries Outcome Score. Results: A total of 30 patients underwent distal fingertip replantation without heparin during the study period. The mean age was 31 years (range, 8-56 years). Machine cut avulsion (23 cases) was the common injury. The mean ischemia time was 7.4 hours. Twenty-five distal replants survived. Fingertip Injuries Outcome Scores categorized outcomes as excellent (n = 10), good (n = 10), fair (n = 5), and poor (n = 5). Complications included shortening (n = 5), nail dystrophy (n = 1), and cold intolerance (n = 1). Conclusion: This study suggests favorable functional outcomes for distal fingertip replants without heparin. No significant complications were observed, suggesting that heparin may not be necessary for all cases. Further research is needed for more explicit guidelines on heparin use in fingertip replantation. Type of study/level of evidence: Therapeutic IV.

Indexed as

Distal replantationFIOSGood outcomeNo heparin

Identifiers

PMID40182872
PMCPMC11962919

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.