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Nonsurgical factors of digital replantation and survival rate

A metaanalysis

  • Review Article
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Abstract

The aim of this metaanalysis was to evaluate the association between nonsurgical factors and survival rate of digital replantation. A computer search of MEDLINE, OVID, EMBASE and CNKI databases was conducted to identify literatures for digital replantation, with the keywords of “digit,” “finger” and “replantation” from their inception to June 10, 2014. Based on the inclusion and exclusion criteria, data were extracted independently by two authors using piloted forms. Review Manager 5.2 software was used for data analysis. The effect of some nonsurgical factors (gender, age, amputated finger, injury mechanisms, ischemia time and the way of preservation) on the survival rate of digital replantation was assessed. The metaanalysis result suggested that gender and ischemia time had no significant influence on the survival rate of amputation replantation. However, the survival rate of digital replantation of adults was significantly higher than that of children. The guillotine injury of a finger was easier to replant successfully than the crush and avulsion. The little finger was more difficult for replantation than thumb. Survival rate of fingers stored in low temperature was higher than that in common temperature. The present metaanalysis suggested that age, injury mechanism, amputated finger and the way of preservation were significantly associated with the survival rate of digital replantation.

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Authors and Affiliations

  1. Department of Cardiology, The 401th Hospital of People’s Liberation Army, NO. 22 Minjiang Road, Qingdao, 266071, China

    Li Wei

  2. Department of Hand Surgery, The 401th Hospital of People’s Liberation Army, Qingdao, 266071, China

    Shujian Hou

  3. Department of Clinical Laboratories, The 401th Hospital of People’s Liberation Army, Qingdao, 266071, China

    Huawei Yu, Bing Liang, Jinle Wang & Yinrong Yang

Authors
  1. Huawei Yu
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  2. Li Wei
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  3. Bing Liang
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  4. Shujian Hou
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  5. Jinle Wang
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  6. Yinrong Yang
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Correspondence to Li Wei.

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Yu, H., Wei, L., Liang, B. et al. Nonsurgical factors of digital replantation and survival rate. IJOO 49, 265–271 (2015). https://doi.org/10.4103/0019-5413.156185

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  • DOI: https://doi.org/10.4103/0019-5413.156185

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