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Survival factors in digital replantation: significance of postoperative anaemia

H Niibayashi1, K Tamura, M Fujiwara

  • 1Department of Orthopaedic Surgery, Kobe City General Hospital, Kobe, Japan. hiroshi_niibayashi@medical.general.hp.city.kobe.jp

Journal of Hand Surgery (Edinburgh, Scotland)
|September 19, 2000
PubMed

Two hundred and fifty-two consecutive digital replantations and revascularizations in 201 patients were retrospectively reviewed to determine factors influencing survival. Children under 9 years of age, women, complete amputations, blood transfusions and secondary thrombectomy were poor prognostic factors. In addition, low haemoglobin and haematocrit levels during the postoperative period were associated with a higher failure rate. Inappropriate use of anticoagulants and excessive postoperative anaemia should be avoided following replantation.

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