Search Our Scientific Publications & Authors

J Hand Surg Am 2019 Apr 17. Epub 2019 Apr 17.

Section of Plastic Surgery, Department of Surgery, The University of Michigan Medical School, Ann Arbor, MI. Electronic address:

Purpose: To examine physician and hospital reimbursement for digit and thumb replantation compared with revision amputation.

Methods: Using the 2009-2016 Truven Health MarketScan Research Databases, we identified patients with a digit or thumb amputation. Following application of our inclusion and exclusion criteria, we divided patients into replantation and revision amputation groups. Read More

JAMA Surg 2019 Apr 17. Epub 2019 Apr 17.

Research and Scientific Affairs, The Plastic Surgery Foundation, Arlington Heights, Illinois.

Importance: Optimal treatment for traumatic digit amputation is unknown.

Objective: To compare long-term patient-reported and functional outcomes between patients treated with revision amputation or replantation for digit amputations.

Design, Setting, And Participants: Retrospective cohort study at 19 centers in the United States and Asia. Read More

Clin Ter 2019 Mar-Apr;170(2):e148-e161

Objectives: To explore the interaction between surgeon volumes (SVs) and hospital volumes (HVs) on health outcomes.

Materials And Methods: We searched MEDLINE, Embase, CINAHL, Web of Science as of May 2017. We included studies investigating the interaction between high or low SVs operating in high or low HVs. Read More

Microsurgery 2019 Apr 16. Epub 2019 Apr 16.

Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto Western Hand Program, Toronto, Ontario, Canada.

Purpose: Despite the common use of intraoperative vasopressors in hand microsurgery, the association between intraoperative vasopressor use and digital replant failure has not yet been examined. Our study aims to examine the association between intraoperative vasopressor use (phenylephrine and/or ephedrine) and postoperative digital failure of replanted or revascularized digits.

Methods: All patients from a single tertiary hand center who underwent unilateral digital replantation or revascularization procedures between 2005 and 2016 were included in this retrospective cohort study. Read More

Indian J Plast Surg 2018 Sep-Dec;51(3):327-330

Consultant Plastic surgeon, Sparsh Clinics, Nagpur, Maharashtra, India.

Commonly reported complications after revascularisation or replantation of extremity are vascular thrombosis leading to complete or partial failure, bony non-union or malunion, joint stiffness and incomplete or abnormal sensory recovery. Sympathetic dysfunction dermatitis is an unreported complication after revascularisation or replantation surgery which results due to denervation of the extremity. We report a case of a young adult who developed eczematous dermatitis over the revascularised upper limb and discuss the role of sympathetic dysfunction in the development of these skin lesions. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Apr;33(4):423-429

Department of Spine Surgery, Linyi People's Hospital, Linyi Shandong, 276003,

Objective: To compare the effectiveness of vertebral arch replantation and laminectomy in the treatment of mild to moderate isthmic spondylolisthesis.

Methods: The clinical data of 66 patients with isthmic spondylolisthesis treated with vertebral arch replantation or laminectomy between March 2014 and July 2016 were retrospectively analyzed. They were divided into trial group (34 cases, treated with complete replantation of vertebral arch, intervertebral fusion, and internal fixation) and control group (32 cases, treated with laminectomy with intervertebral fusion and internal fixation) according to different surgical methods. Read More

Dent Traumatol 2019 Apr 13. Epub 2019 Apr 13.

Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, China.

Background/aim: The extra-alveolar period and storage medium are important for the survival of replanted teeth. The aim of this study was to evaluate factors affecting the survival of replanted teeth in children.

Material And Methods: Complete dental records of avulsed teeth including age, gender, extra-alveolar time, storage type and period, stage of root development, crown fracture, gingival laceration, alveolar fracture, antibiotics, and splint type and period were obtained. Read More

Indian J Orthop 2019 Mar-Apr;53(2):357-365

Department of Orthopaedics, Ruihua Affiliated Hospital of Soochow University, Suzhou, China.

Background: This study aimed to evaluate a novel surgical method for the acute reconstruction of defects in the thumb and other fingers by transplanting a free vascularized joint flap from the second toe and to determine its clinical curative effects.

Materials And Methods: A free vascularized joint flap from the second toe was transplanted to reconstruct a complete defect of the thumb and other fingers accompanied by the loss of the proximal finger in 10 patients. Of these patients, three had their thumbs reconstructed with a free vascularized joint flap from the second toe and with the proximal interphalangeal joint flap, one had a thumb reconstructed with a free vascularized joint flap from the second toe, and six had their finger defects reconstructed with the proximal interphalangeal joint flap. Read More

Anticancer Res 2019 Apr;39(4):2015-2023

Department of Plastic and Hand Surgery, University Hospital, Basel, Switzerland.

Background/aim: Reconstruction of diaphyseal tibial sarcomas with extracorporeal irradiated autograft is a rarely applied technique and is analyzed in this study.

Patients And Methods: Eight patients with malignant sarcomas received local treatment by means of a wide resection and reimplantation of an extracorporeally-irradiated autograft. The graft was combined with an ipsilateral vascularized fibula when a full-thickness segment of the tibia had to be resected and no cortex could be preserved (n=5). Read More

J Biol Regul Homeost Agents 2019 Mar-Apr,;33(2):623-627

Department of Surgical Sciences, Pedodontics Division, University of Modena-Reggio, Modena, Italy.

Avulsion of one or more permanent teeth represents an emergency in dentistry. The main treatment is the replantation of the tooth/teeth as soon as possible to decrease possible complications. However, this is not always possible, and, in many cases, the patient undergoes a delayed replantation and subsequently prosthetic and implant treatments. Read More

J Biol Regul Homeost Agents 2019 Mar-Apr,;33(2):629-631

Department of Paediatric Dentistry, University of Modena and Reggio Emilia, Modena, Italy.

The aim of this study is to assess what needs to be the priority in tooth avulsion: replantation as quickly as possible and deferred endodontic treatment, or replantation and elimination of every irritating stimulus for the periodontal ligament. Read More

Hand (N Y) 2019 Apr 2:1558944719834658. Epub 2019 Apr 2.

1 University of California, Irvine, Orange, USA.

Background: Digit replantation affords the opportunity to restore hand function following amputation. To date, however, few studies have evaluated functional outcomes following replantation. Therefore, it was the objective of this study to perform a meta-analysis to better characterize the predictors of hand function. Read More

Arch Plast Surg 2019 Mar 31;46(2):108-113. Epub 2019 Mar 31.

Division of Plastic Surgery, Department of Surgery, Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

Background: The aim of this study was to assess the safety of one-per-mil tumescent injections into viable skin flaps that had survived an ischemic insult, in order to assess the potential suitability of one-per-mil tumescent injections in future secondary reconstructive procedures such as flap revision and refinements after replantation.

Methods: Forty groin flaps harvested from 20 healthy Wistar rats weighing 220 to 270 g were subjected to acute ischemia by clamping the pedicle for 15 minutes. All flaps showing total survival on the 7th postoperative day were randomly divided into group A (one-per-mil tumescent infiltration; n=14), group B (normal saline infiltration; n=13), and group C (control, with no infiltration; n=13) before being re-elevated. Read More

Hand Clin 2019 May 18;35(2):xi. Epub 2019 Feb 18.

Hand & Arm Center, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Yawkey Building 2100, Boston, MA 02114, USA. Electronic address:

Hand Clin 2019 May 25;35(2):231-240. Epub 2019 Feb 25.

Division of Plastic and Reconstructive Surgery, Harvard Medical School, Massachusetts General Hospital, Wang Building, 55 Fruit Street, Boston, MA 02114, USA. Electronic address:

Secondary surgery following digital replantation and revascularization is common and is often performed to improve range of motion, tendon gliding, sensibility, and/or contour. In this article, the authors present the most common secondary procedures performed after digital replantation or revascularization and discuss current techniques. The importance of patient selection and postoperative compliance with ongoing hand therapy is paramount to achieving good outcomes. Read More

Hand Clin 2019 May 18;35(2):221-229. Epub 2019 Feb 18.

Orthopaedics, Division of Plastic Surgery, University of Washington, Harborview Medical Center, Seattle Children's Hospital, 325 9th Avenue, Box 359796, Seattle, WA 98104, USA.

Postoperative care of amputated digits begins before replantation. Detailed informed consent should be obtained and completion amputation discussed if revascularization is not ultimately successful. Complications and failure of the replanted digit should also be addressed. Read More

Hand Clin 2019 May;35(2):207-219

Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA.

The variability in reported outcomes and outcome measures used in digit replantation makes it difficult to compare results among studies. This article reviews the principles of measuring functional and patient-reported outcomes after replantation, and describes the recommended instruments to use and ways to report results. Read More

Hand Clin 2019 May 25;35(2):199-206. Epub 2019 Feb 25.

The Curtis National Hand Center, MedStar Union Memorial Hospital, 3333 North Calvert Street, Johnston Professional Building, 2nd Floor, Baltimore, MD 21218, USA. Electronic address:

Traumatic amputation of the upper extremity remains a challenging problem for reconstructive hand surgeons. Temporary ectopic banking of amputated parts for subsequent replantation is an innovative and valuable surgical technique for patients who would otherwise be poor candidates for replantation. The applications of ectopic banking have evolved and expanded to include various clinical scenarios. Read More

Hand Clin 2019 May 18;35(2):185-197. Epub 2019 Feb 18.

Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, 36, Digital-road, Gwangmyeong, Gyeonggi-do 14241, South Korea.

A dysvascular digit is defined as a threatened circulatory condition of a digit caused owing to multiple reasons, such as medical illness or trauma. A dysvascular digit always needs surgical manipulation of the vessel in trauma cases. The revascularization of the digit is a priority in such conditions, after which reconstruction of the defect is performed. Read More

Hand Clin 2019 May;35(2):179-184

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo, 1-3-7, Hongo, Bunkyo-ku, Tokyo 113-0011, Japan.

The authors describe 3 cases with successful fingertip replantations using supermicrosurgical arteriole (terminal branch of digital artery) anastomoses, arteriole graft obtained from the same fingertip defect, reverse arteriole flow to subdermal venule, and delayed venular drainage for venous congestion. Among these 16 consecutive distal phalangeal replantations, 7 fingers showed postoperative venous congestion (43.8% of the total fingers) and 5 were reoperated on with delayed venous drainage under digital block. Read More

Hand Clin 2019 May 18;35(2):155-178. Epub 2019 Feb 18.

Department of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Enders 1, Boston, MA 02115, USA. Electronic address:

Replantation and revascularization in the pediatric extremity has unique challenges that provide a fertile field of research and clinical experience. Children regenerate peripheral nerves rapidly, resulting in good sensory and motor function. They adapt well to functional deficits and mismatch errors of reinnervation. Read More

Hand Clin 2019 May;35(2):143-154

Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Colorado, Anschutz Medical Center, 12631 East 17th Avenue, C309 (Room 6414), Aurora, CO 80045, USA; Department of Orthopedics, University of Colorado, Anschutz Medical Center, 12631 East 17th Avenue, C309 (Room 6414), Aurora, CO 80045, USA. Electronic address:

Level of injury plays a significant role in decisions to perform replantation, with improved function, nerve regeneration, and decreased rate of reperfusion injury for injuries at the distal forearm or wrist compared with proximal injuries. The principles of a functional and sensate outcome dictate replantable parts, whereas patient comorbidity, expectations, and safety dictate patient candidacy. Vascular grafts are an expected part of the operation, and the contralateral arm or a lower extremity should be prepped into the surgical field. Read More

Hand Clin 2019 May 25;35(2):131-141. Epub 2019 Feb 25.

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, WAC 435, Boston, MA 02114, USA.

Digital replantation and revascularization have evolved significantly since the first published reports in the 1960s. Advances in techniques and instruments have made these once formidable procedures a routine part of hand surgery training. Despite this, the frequency of successful outcomes for replantation may be on the decline in the United States. Read More

Hand Clin 2019 May 23;35(2):119-130. Epub 2019 Feb 23.

Northwestern University School of Medicine, NMH/Galter Room 19-250, 675 North Saint Clair, Chicago, IL 60611, USA.

The indications for upper extremity replantation are fluid, and it has long been appreciated that they change with time. Traditional strong indications for replantation include hand, thumb, or multiple digit amputation in adults, and almost any amputation in a child. Patients often desire replantation of single nonthumb digits based on aesthetic preference and personal/cultural values. Read More

Hand Clin 2019 May 23;35(2):109-117. Epub 2019 Feb 23.

Department of Plastic Surgery, Vanderbilt University Medical Center, 1211 Medical Center Drive, Medical Center North, D-4219, Nashville, TN 37232, USA; Department of Biomedical Informatics, Vanderbilt University Medical Center, 1211 Medical Center Drive, Medical Center North, D-4219, Nashville, TN 37232, USA; Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, 1211 Medical Center Drive, Medical Center North, D-4219, Nashville, TN 37232, USA. Electronic address:

Replantation of a digit or hand is most successful when performed at a specialized, high-volume center. However, most patients with amputations initially present to local hospitals. Therefore, patients amenable to replantation frequently require expedited transfer to a tertiary center. Read More

Hand Clin 2019 May 18;35(2):103-108. Epub 2019 Feb 18.

University of Pennsylvania, 3737 Market Street, 6th Floor, Philadelphia, PA 19104, USA. Electronic address:

Although upper extremity amputations have become less common in the workplace because of improvements in safety and equipment, the American health system's ability to provide emergent microvascular care for these injuries remains highly fragmented, inconsistent, overburdened, and at times unavailable. Over the past decade, hand surgeons have worked to improve this disparity within health systems. This article discusses the need for emergent microsurgical treatment, barriers encountered in improving access to care, and a description of current and future efforts of developing a sustainable network of highly specialized regional hand trauma centers. Read More

J Evid Based Dent Pract 2019 Mar 28;19(1):86-88. Epub 2018 Dec 28.

Article Title And Bibliographic Information: A Systematic Review of the Survival of Teeth Intentionally Replanted with a Modern Technique and Cost-effectiveness Compared with Single-tooth Implants. Mainkar A. J Endod 2017:43(12):1963-8. Read More

Plast Reconstr Surg 2019 Apr;143(4):758e-768e

Kirşehir, Kütahya, Kayseri, and Eskişehir, Turkey From the Faculty of Medicine, Department of Plastic, Reconstructive, and Aesthetic Surgery, Ahi Evran University; the Faculty of Medicine, Department of Histology and Embryology, Dumlupinar University; Gen Kök Genome and Stem Cell Center, Erciyes University; the Faculty of Medicine, Department of Plastic, Reconstructive, and Aesthetic Surgery, the Central Research Laboratory Research and Application Center, and the Faculty of Medicine, Department of Biostatistics, Osmangazi University; and the Faculty of Medicine, Department of Pharmacology, Dumlupinar University.

Background: Successful limb replantation must be based not only on the viability of the amputated part but also on satisfactory long-term functional recovery. Once the vascular, skeletal, and soft-tissue problems have been taken care of, nerve recovery becomes the ultimate limiting factor. Unfortunately, nerve regeneration after limb replantation is impaired by several consequences. Read More

Plast Reconstr Surg 2019 Mar 12. Epub 2019 Mar 12.

Department of Plastic and Reconstructive Surgery, University of Tsukuba, Ibaraki, Japan.

Background: The purpose of this study was to clarify the appropriate use of unfractionated heparin (UFH) as an anticoagulation agent after digital replantation.

Methods: This study was a prospective, randomized, single blind, blinded-endpoint method, three-arm parallel-group, and controlled clinical trial conducted at a single institution. A total of 88 patients (101 fingers) following digital amputation and subsequent repair by anastomosis of both arteries and veins were randomly allocated into 3 groups: 1) control group (no heparin dose), 2) low-dose heparin group (10,000 IU/day), and 3) high-dose heparin group (start at 15,000 IU/day, then adjust the dose to achieve an activated partial thromboplastin time of 1. Read More

Gene 2019 Mar 19;701:89-97. Epub 2019 Mar 19.

Department of Plastic, Reconstructive and Hand Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.

Introduction: With the introduction of vascularized composite allotransplantation (VCA) as new surgical technique, the need arose for strategies that could safely prolong graft preservation. Ex-vivo machine perfusion is a promising technique and is currently applied in solid organ transplantation. There is still limited evidence in the field of VCA and free flap transplantation. Read More

Indian J Dent Res 2019 Jan-Feb;30(1):21-26

Department of Pedodontics and Preventive Dentistry, KMSDCH, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.

Context: Traumatic dental injuries (TDIs) leading to dental avulsion occur very frequently in society. Management of avulsion is critical for the dentist, as it requires appropriate knowledge.

Aim: The study was conducted to evaluate the knowledge of the general dental practitioners (GDPs) regarding the emergency management of TDI leading to avulsion in children. Read More

Clin Case Rep 2019 Mar 7;7(3):546-549. Epub 2019 Feb 7.

Department of Plastic and Reconstructive Surgery Graduate School of Medicine The University of Tokyo Tokyo Japan.

Replantation combined with simultaneous ectopic implantation can be considered in patients with multiple finger amputation injury. This technique has the advantages of reducing the operating time and optimizing hemodynamic stability. However, it is only possible when multiple hand and microsurgery team can be organized at short notice. Read More

Plast Reconstr Surg Glob Open 2018 Nov 5;6(11):e1820. Epub 2018 Nov 5.

Clinic of Plastic and Reconstructive Surgery, University of Padova, Padua, Italy.

Background: Ear avulsion is a rare complication of different traumas, such as car accidents, human or animal bites and stab wounds, and can result in dramatic cosmetic consequences for the patient. Ear replantation, revascularization, and reattachment are the options offering best aesthetic results. But venous outflow insufficiency is responsible for a high rate of failures. Read More

J Hand Surg Eur Vol 2019 May 18;44(4):NP1. Epub 2019 Mar 18.

Turk J Med Sci 2019 Mar 14;49(2). Epub 2019 Mar 14.

Background/aim: The aim of this study was to determine validity and reliability of the Turkish version of the Cold Intolerance Symptom Severity (CISS-T) Questionnaire.

Materials And Methods: The translation and back translation steps of the study were based on the Beaton guidelines. Sixty-eight patients between 18 and 65 years old with cold intolerance after amputation, replantation, multiple crush syndrome, and peripheral nerve injury were included in the study. Read More

J Hand Ther 2019 Mar 8. Epub 2019 Mar 8.

Discipline of Occupational Therapy, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.

Study Design: Case report.

Introduction: This case report details the postsurgical rehabilitation and outcome of a young maintenance man who sustained a complete amputation of his dominant upper limb at the level of the distal forearm. The patient underwent replantation surgery with 2-centimeter bone shortening, followed by early controlled active motion commencing on day 6. Read More

Eplasty 2019 5;19:e2. Epub 2019 Feb 5.

University of Texas Southwestern Medical Center, Dallas, Tex.

There are very few studies reporting the techniques utilized in penile replantation. Of those in literature, many agree that the use of microvascular technique results in better outcomes. The most common complications are skin necrosis and venous congestion, which are even higher in replants without arterial supply. Read More

J Hand Surg Eur Vol 2019 Mar 6:1753193419833343. Epub 2019 Mar 6.

1 Central Hospital Affiliated to Shenyang Medical College, Shenyang, China.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019831480

4 Department of Orthopaedic Surgery, Medical Research Institute, Pusan National University Hospital, Pusan, South Korea.

Purpose:: Fingertip replantation is a challenging and technically demanding procedure. A variety of venous drainage techniques have been attempted for successful fingertip replantation. We present a new venous drainage technique, known as serial multifocal incision for fingertip replantation. Read More

J Craniofac Surg 2019 Feb 25. Epub 2019 Feb 25.

Department of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy.

A common complication of tooth replantation after traumatic avulsion is tooth ankylosis causing dental malpositioning, partial loss of function, tipping of adjacent teeth and worsening of aesthetics. The aim of this study is to evaluate the effects of a repositioning procedure of such ankylosed permanent front teeth by a distraction osteogenesis procedure. Five patients (mean age 13. Read More

J Indian Soc Pedod Prev Dent 2019 Jan-Mar;37(1):99-106

Al Maher Medical Center, Dubai, UAE.

Tooth avulsion is a severe form of luxation injury that involves damage to both the pulp and the periodontal ligament. Avulsed teeth need to be replanted immediately in order to restore esthetics and function. Delayed replantation often results in ankylosis of the tooth which is a common sequela following avulsion injuries. Read More

World J Pediatr Congenit Heart Surg 2019 01;10(1):111-115

1 Division of Cardiovascular-Thoracic Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.

Left mainstem bronchial compression by a midline descending thoracic aorta is a rare anatomic variant. Translocation of the descending thoracic aorta to the ascending aorta has recently been described to treat this condition. We performed an aortic translocation and right pulmonary artery reimplantation in a 4-month-old infant with severe pulmonary hypertension secondary to right pulmonary artery stenosis and left bronchial compression by a midline descending thoracic aorta. Read More

Cochrane Database Syst Rev 2019 02 20;2:CD001532. Epub 2019 Feb 20.

Analytics Assist, NSW Ministry of Health, 73 Miller St, North Sydney, NSW, Australia, 2060.

Background: Vesicoureteric reflux (VUR) results in urine passing retrograde up the ureter. Urinary tract infections (UTI) associated with VUR have been considered a cause of permanent renal parenchymal damage in children with VUR. Management has been directed at preventing UTI by antibiotic prophylaxis and/or surgical correction of VUR. Read More

Kyobu Geka 2019 Feb;72(2):99-103

Department of Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan.

Left sinus of Valsalva aneurysm(SVAn)is a very rare clinical entity. We present a 68-year-old female with left SVAn, 5 cm in diameter, compressing the left main coronary artery and causing antero-septal asynergy. She also had massive pericardial effusion, moderate to severe(grade Ⅲ)aortic regurgitation, and mitral regurgitation. Read More

J Hand Surg Eur Vol 2019 Feb 14:1753193419828986. Epub 2019 Feb 14.

2 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, UK.

Hospital Episode Statistics (HES) include freely accessible records of all hospital episodes in England. We analysed HES from 1998-1999 to 2014-2015 for diagnoses of hand fractures, tendon injuries, nerve injuries, blood vessel injuries, traumatic amputations and nail bed injuries. Population data were used to calculate the incidence. Read More

Hand (N Y) 2019 Feb 14:1558944719828005. Epub 2019 Feb 14.

1 University of Toronto, Toronto, ON, Canada.

Background: Tendon adhesions and capsular contractures following trauma to the proximal interphalangeal joint (PIPJ) may significantly reduce hand function. Traditional, staged surgical management prioritizes restoration of PIPJ passive range of motion with joint release prior to restoration of active range of motion (AROM) with tenolysis. This is expensive and burdensome for patients. Read More

Hand (N Y) 2019 Feb 14:1558944719828002. Epub 2019 Feb 14.

1 New York University Langone Orthopedic Hospital, New York City, USA.

Background: The general teaching is that increased number of vein repairs in digit replantation leads to improved venous outflow, resulting in lower need for iatrogenic bleeding, lower postoperative transfusion requirements, and better survival rates. The purpose of this study was to determine whether the traditional teaching that emphasizes the repair of multiple veins per arterial anastomosis results in superior survival rates.

Methods: A retrospective review of a single urban replant center's single-digit replants distal to the mid-metacarpal level in adult patients from 2007 to 2017 was performed. Read More

Turk J Med Sci 2019 Feb 11;49(1):435-441. Epub 2019 Feb 11.

Background/aim: Venous insufficiency after replantation or revascularization is one of the most common causes of limb loss in either the short or the long term. The aim of this study was to evaluate the results of a new technique to overcome venous insufficiency.

Materials And Methods: A crush-avulsion type of injury was formed in the femoral veins of rats of 3 separate groups. Read More

J Hand Surg Asian Pac Vol 2019 Mar;24(1):1-5

1 Department of Plastic and Reconstructive Surgery, Kansai Electric Power Hospital, Osaka, Japan.

Background: Antithrombotic therapy following replantation remains controversial, and the survival of replanted digits is affected by various other factors, such as the state of vascular damage and the surgeon's level of skill. The present study's aim is to obtain clinical evidence for postoperative antithrombotic therapy in replantation, with antithrombotic therapy being the only variable.

Methods: This was a single-center retrospective study of patients who underwent replantation of a completely amputated digit by the same surgeon. Read More

Microbiol Res 2019 Mar 6;220:1-11. Epub 2018 Dec 6.

School of Geography Science, Nanjing Normal University, Nanjing, 210023, China; Jiangsu Center for Collaborative Innovation in Geographical Information Resource Development and Application, Nanjing, 210023, China; Jiangsu Provincial Key Laboratory of Materials Cycling and Pollution Control, Nanjing Normal University, Nanjing, 210023, China. Electronic address:

Continuous monocropping often influences negatively the soil microbial community and leads to the occurrence of soil-borne diseases. In this study, a pre-cultivation soil management strategy, reductive soil disinfestation (RSD), involving amendment by the use of reed straw, bagasse, and rice straw, and creating anaerobic soil conditions, was used to regulate the microbial community in a soil infested by Fusarium wilt of lisianthus and make it suitable for plant cultivation. The results showed that RSD significantly decreased F. Read More