gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Analysis of the risk factors that determine composite graft survival for fingertip amputation

Meeting Abstract

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  • presenting/speaker SuRak Eo - Plastic Surgery, DongGuk University Medical Center, Goyang, South Korea
  • GyeongHyeon Doh - Plastic Surgery, DongGuk University Medical Center, Goyang, South Korea
  • KiYong Hong - Plastic Surgery, DongGuk University Medical Center, Goyang, South Korea

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-934

doi: 10.3205/19ifssh0253, urn:nbn:de:0183-19ifssh02538

Veröffentlicht: 6. Februar 2020

© 2020 Eo et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

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Objectives/Interrogation: The composite graft is the only surgical method that is able to maintain digital length and provide soft tissue coverage without donor site morbidities in microsurgically non-replantable fingertip amputations. This study aimed to explore the risk factors that determine the survival of composite grafts.

Methods: Clinical characteristics associated with graft survival were retrospectively analysed by a comparison between the graft survival and failure groups.

Results and Conclusions: Of 94 patients who underwent a composite graft for fingertip amputation, the graft survived in 84 (89%). Surviving grafts showed reperfusion within 1 week. Multivariate analysis revealed that graft failure was independently associated with a crushing injury. Based on the risk factors from the comparison analyses and a review of previously published studies, a cutting injury, grafting the injured finger within 5 hours of injury, and being a non-smoker are associated with good results.

In these circumstances, excellent outcomes with a high success rate can be achieved by composite graft in most adult patients as an alternative treatment to microsurgical replantation.

Notes: At the time of abstract submission, this paper was in the process of publication in J Hand Surg Eur Vol [1].

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References

1.
Eo S, Doh G, Lim S, Hong KY. Analysis of the risk factors that determine composite graft survival for fingertip amputation. J Hand Surg Eur Vol. 2018 Dec;43(10):1030-1035. DOI: 10.1177/1753193418795820 Externer Link