Outcomes following replantation surgery

Eur J Orthop Surg Traumatol. 2023 Sep 27. doi: 10.1007/s00590-023-03729-1. Online ahead of print.

Abstract

The ability to perform surgical replantation of individual digits and limbs can provide substantial functional improvement for patients who sustain devastating upper extremity injuries. Defining success in replantation surgery extends beyond the acute period and the binary metrics of survival or loss of the replanted part to include the long-term overall functional outcomes. Functional outcomes include both objective clinical evaluation and patient-reported outcomes. There has been significant variation in the way outcomes following replantation are measured, which inherently leads to heterogeneity in the reported outcome data. Given the variability among outcome measures, we aim to explore the outcomes of replantation surgery, particularly clinical evaluation and patient-reported functional outcomes following replantation.

Keywords: Digit replantation; Digit replantation function; Digit replantation survival; Functional outcomes; Outcome measures; Outcomes after replantation; Patient-reported outcomes.