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234281

Study of Impact of Arterial/Venous Ratio in Optimizing Outcome of Hand Replantation Surgery at Zagazig University Hospitals

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Last updated: 03 Jan 2025

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Abstract

Background: The number of anastomosed arteries and veins in replantation surgery of the hand is one of the most important factors in determining survival rate.
Objective: To evaluate the surgical and functional outcomes of replantation after injuries in the hand with different ratios of the repaired arteries and veins.
Patients and Methods: Twenty-one patients underwent replantation and revascularization procedures for hands and fingers amputation from April 2021 to the end of October 2021 in the Department of Plastic Surgery at Zagazig University Hospitals. According to arterial/venous (AV) ratio in optimizing replantation they were grouped into 3 groups, group I AV ration < 1 vein, group II: AV ration = 1 vein, group III: AV ration > 1 vein and they were followed up for more than six months
Results: There were a statistically significant increase in total active range of motion (TAM) degree among Group III compared to Group I and II. Regarding Chen criteria, there was a statistical significant increase in frequency of class I among Group III compared to Group I and Group II. There was a statistically significant –ve correlation between A/V ratio and TAM degree among the studied cases. Also, there was a statistical significant +ve correlation between A/V ratio and Chen criteria, two-point discrimination (2PD), and Q dash among the studied cases.
Conclusion: All hand surgeons should be able to perform digital replantation. A successful vessel anastomosis ensures the viability of the replanted portion of the body.
 

DOI

10.21608/ejhm.2022.234281

Keywords

Arterial/Venous Ratio, Replantation

Authors

First Name

Muntasir Faraj

Last Name

Ammar

MiddleName

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Affiliation

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Email

moontaasseer@gmail.com

City

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Orcid

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First Name

Mohamed Mohamed Salah

Last Name

Awad

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Nawel El-Sayed

Last Name

Hussein

MiddleName

-

Affiliation

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Email

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City

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Orcid

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First Name

Mohamed Abbass Hegazy

Last Name

Alwahsh

MiddleName

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Affiliation

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Email

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City

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Orcid

-

Volume

87

Article Issue

1

Related Issue

31467

Issue Date

2022-04-01

Receive Date

2022-04-29

Publish Date

2022-04-01

Page Start

2,190

Page End

2,197

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_234281.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=234281

Order

196

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Study of Impact of Arterial/Venous Ratio in Optimizing Outcome of Hand Replantation Surgery at Zagazig University Hospitals

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Article

Created At

22 Jan 2023