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J Hand Surg Br. 2000 Oct;25(5):512-5.

Survival factors in digital replantation: significance of postoperative anaemia.

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  • 1Department of Orthopaedic Surgery, Kobe City General Hospital, Kobe, Japan.


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.

Copyright 2000 The British Society for Surgery of the Hand.

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