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Finger replantation in Jordan: evaluating the knowledge, attitudes, practices, and barriers among doctors and medical
Saleh Abualhaj1,2,3, Mosleh M Abualhaj4, Lina Alshadfan5
1Department of General Surgery, Al-Balqa Applied University, Salt, Jordan.
Background:
Finger replantation is a complex microsurgical procedure that requires optimal conditions for success. Understanding the knowledge and awareness of healthcare professionals regarding finger preservation and replantation can help improve outcomes for patients with amputated fingers.
Methods:
A cross-sectional survey was conducted among healthcare professionals, including clinical years medical students, surgical residents, and specialists. The survey assessed participants' knowledge of factors influencing the finger replantation success, the appropriate management of amputated fingers before surgery, the ideal time for replantation, and key considerations for finger preservation.
Results:
Among 197 participants, 81.2% correctly identified finger replantation as a surgical procedure to reattach a severed finger. However, 9.6% incorrectly believed it was a technique to preserve the finger for later reattachment. The most frequently reported barriers to performing finger replantation included lack of training or expertise (78.2%), limited access to specialized surgical instruments (66.5%), and financial constraints (61.9%). Significant differences were found across professional groups regarding perceived barriers, particularly in terms of training, access to surgical instruments, and infrastructure.
Conclusion:
While general knowledge of finger replantation is high, key misconceptions and barriers; like limited training, resources, and funding, persist. Improving education, infrastructure, and specialized programs is vital to expanding access and enhance outcomes.
