ReviewFrontiers in surgery2026
Risk factors associated with postoperative necrosis after digital replantation: a systematic review and meta-analysis.
Review in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Systematically evaluate and quantitatively analyze risk factors associated with necrosis following replantation surgery for amputated fingers, providing evidence-based support for perioperative risk assessment and clinical decision-making. Methods: Systematically searched PubMed, Embase, Web of Science, Cochrane Library, and CNKI, Wan fang, VIP for all observational studies from indexing to January 1, 2026. Cohort studies reporting overall postoperative necrosis after finger replantation, as defined in the original studies, and its associated factors were included. The Newcastle-Ottawa Scale (NOS) was used to assess the methodological quality of included studies. Pooled effect sizes were extracted, and pooled odds ratios (ORs) with 95% confidence intervals (95% CI) were calculated using a random-effects model. Results: A total of 12 studies involving 3,645 patients were included. Meta-analysis results suggest smoking [OR = 3.48, 95% CI (1.96, 6.17)], preoperative ischemic time ≥8 h [OR = 2.25, 95% CI (1.43, 3.54)], crush injury [OR = 2.77, 95% CI (1.41, 5.43)], thrombosis [OR = 4.98, 95% CI (1.49, 16.67)], vein graft [OR = 1.56, 95% CI (1.19, 2.04)] may be associated with necrosis after digital replantation. Conclusion: This study suggests that smoking, preoperative ischemia duration ≥8 h, crush injury, thrombosis, and venous grafting may be associated with an increased risk of overall postoperative necrosis following finger replantation. These findings should be interpreted with caution because outcome definitions were not fully consistent across studies. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420261290184.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.