ArticleJPRAS open2025
Analysis of risk factors for post-replantation necrosis in complete multi-finger amputation.
Article in JPRAS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Postoperative vascular compromise after digital replantation or revascularization: timing, risk factors, and salvage outcomes in a single-center retrospective cohort.Frontiers in medicine · 2026Article
- Risk factors associated with postoperative necrosis after digital replantation: a systematic review and meta-analysis.Frontiers in surgery · 2026Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This study aims to summarize the risk factors affecting the survival rate of multiple fingers after replantation. Method: A retrospective analysis was conducted on cases of completely amputated multiple fingers that underwent multi-finger replantation. Patients were divided into survival, partial survival, and necrosis groups based on the replantation outcome. The replanted fingers were categorized into survival and necrosis groups (fingers). The impact of factors on the survival rates of replantation was analyzed. Results: A total of 201 patients with 650 fingers were included in the study. Univariate analysis showed that the surgery duration was significantly longer in the partial survival group (381.4 min) and the necrosis group (401.9 min) compared to the survival group (321.5 min). The survival rate of replantation in the Tamai zone 3 (84.2 %) was higher than in zone 4 (77.1 %). Multivariate logistic analysis revealed that surgery duration and the amputation plane significantly affected the survival rates of replantation. The rate of vein graft in daytime surgery (29.8 %) was significantly higher than in nighttime surgery (25.8 %). Conclusion: In patients with complete multi-finger amputation, surgery duration and the amputation plane are risk factors affecting the survival rate of multi-finger replantation. Under well-rested conditions, surgeons tend to choose more aggressive finger preservation strategies.
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