Alphonsus Chong's Personal Wiki

In this retrospective study, 79 digits of 55 patients received 102 secondary procedures following replantation. We divided the procedures into two groups, occurring before or after 2 months following replantation. The procedures in the early group were mainly for soft tissue coverage (92%), and those in that late group were mainly for tendon (67%) to improve function. Factors associated with higher incidence of early secondary procedures included multiple-finger injury, avulsion or degloving injury and level of injury proximal to zone III in finger replantation ðp , 0:05Þ: However, younger patients and those with proximal level replantation in fingers had more late secondary procedures ðp , 0:05Þ: Flexor tenolysis procedure significantly improved the digital function after replantation ðp , 0:05Þ: q 2003 The British Association of Plastic Surgeons. Published by Elsevier Science Ltd. All rights reserved.

• describes exploration and revision of vascular anastomosis as secondary procedures

• Early < 2 months – mainly soft tissue coverage
• Late > 2 months – tendon

• 79 digits, 55 patients, 102 secondary procedures
• 32% had secondary procedures; range from 1-4 procedures: 1:22, 2: 21, 3: 10, 4: 2

• Yu advocates are 6 months
• quotes Jupiter 4-6 months

• Tamai score improve 67-84
• no worse
• no digit loss

Yu, J.-C., Shieh, S.-J., Lee, J.-W., Hsu, H.-Y., & Chiu, H.-Y. (2003). Secondary procedures following digital replantation and revascularisation. British Journal of Plastic Surgery, 56(2), 125–128. https://doi.org/10.1016/S0007-1226(03)00033-X

• Secondary Surgery

• 2020-07-13 created as .txt
• 2020-08-08 transcribed to dokuwiki and minor additions