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Review Question - QID 1079

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QID 1079 (Type "1079" in App Search)
All of the following factors are favorable for digit survival after replantation surgery EXCEPT?

Sharply amputated digit

0%

19/3989

Crushed amputated digit

96%

3831/3989

Warm ischemia time of 8 hours

3%

103/3989

Patient age of 10 years

0%

7/3989

Female gender

0%

18/3989

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Waikakul et al. in a study of 1018 replantations found that type of injury was the most important factor influencing immediate and late outcome. Extensively crushed injuries had the worst outcome, followed by degloving and avulsion injuries. Sharp cut injuries fared the best. Regular cigarette smoking resulted in poor immediate survival rate and prolonged ischemia had a significant influence in final functional outcome, but neither were as important as mechanism of injury. Alcohol consumption was also a negative predictor.

Favorable factors for replantation survival were female gender, age under 13 years old, and nonsmokers. Regarding ischemia time, <12 hours of warm ischemia or <24 hours of cold ischemia for a digit to obtain optimal outcomes.

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