Outcomes of Finger Replantation in Western Nepal: An Observational Study
Introduction: Hand injuries involving finger amputations prevalent in young working populations. This study evaluated the demographics and clinical outcomes of finger replantation procedures performed at a regional referral center in Western Nepal. Methods: This retrospective,observational, cros...
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Nepal Medical Association
2025-06-01
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| Series: | Journal of Nepal Medical Association |
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| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/9121 |
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| author | Piyush Giri Sujan Shakya |
| author_facet | Piyush Giri Sujan Shakya |
| author_sort | Piyush Giri |
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Introduction: Hand injuries involving finger amputations prevalent in young working populations. This study evaluated the demographics and clinical outcomes of finger replantation procedures performed at a regional referral center in Western Nepal.
Methods: This retrospective,observational, cross-sectional study was conducted at the Department of Burns, Plastic and Reconstructive Surgery, Charak Memorial Hospital, Pokhara, from January 2023 to December 2024. Ethical approval was obtained from National Health Research Council on 16 February 2025 (Reference no:1840). All patients who underwent finger replantation procedure with successful artery and venous flow restoration were included. Data on demographics, injury characteristics, surgical techniques, and outcomes were collected. Survival was defined as digit viability for a minimum of 21 days. Functional outcomes were assessed using the Chen functional scoring system at 6 months.
Results: A total of 10 finger replantation procedures were performed in 10 patients with mean age of 34.6 ±13.60 years. All patients were male and right-handed. Six(60.00%) patients were employed in blue-collar occupations. The thumb was commonly affected digit accounting for 6(60.00%) cases. The principal mechanism of injury was crush amputation observed in 7(70.00%) cases.Five (50.00%) replanted fingers were categorized as Tamai level III. Successful replantation was achieved in 8(80.00%) fingers. Functional assessment revealed Grade I outcomes in 6(75.00%) cases and Grade III in 2(25.00%) cases.
Conclusions: Finger replantation in a resource-limited setting achieved survival rates comparable to international standards. Success was attributed to younger patient age, shorter ischemia time, and appropriate surgical techniques.
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| format | Article |
| id | doaj-art-abd1f440c7034a8ea21da4a25299c6a8 |
| institution | Kabale University |
| issn | 0028-2715 1815-672X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Nepal Medical Association |
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| series | Journal of Nepal Medical Association |
| spelling | doaj-art-abd1f440c7034a8ea21da4a25299c6a82025-08-20T03:28:22ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2025-06-016328710.31729/jnma.9121Outcomes of Finger Replantation in Western Nepal: An Observational StudyPiyush Giri0Sujan Shakya1Pokhara Academy of Health Sciences, Pokhara, Kaski, Gandaki, NepalUnited Mission Hospital Tansen, Tansen, Palpa, Nepal Introduction: Hand injuries involving finger amputations prevalent in young working populations. This study evaluated the demographics and clinical outcomes of finger replantation procedures performed at a regional referral center in Western Nepal. Methods: This retrospective,observational, cross-sectional study was conducted at the Department of Burns, Plastic and Reconstructive Surgery, Charak Memorial Hospital, Pokhara, from January 2023 to December 2024. Ethical approval was obtained from National Health Research Council on 16 February 2025 (Reference no:1840). All patients who underwent finger replantation procedure with successful artery and venous flow restoration were included. Data on demographics, injury characteristics, surgical techniques, and outcomes were collected. Survival was defined as digit viability for a minimum of 21 days. Functional outcomes were assessed using the Chen functional scoring system at 6 months. Results: A total of 10 finger replantation procedures were performed in 10 patients with mean age of 34.6 ±13.60 years. All patients were male and right-handed. Six(60.00%) patients were employed in blue-collar occupations. The thumb was commonly affected digit accounting for 6(60.00%) cases. The principal mechanism of injury was crush amputation observed in 7(70.00%) cases.Five (50.00%) replanted fingers were categorized as Tamai level III. Successful replantation was achieved in 8(80.00%) fingers. Functional assessment revealed Grade I outcomes in 6(75.00%) cases and Grade III in 2(25.00%) cases. Conclusions: Finger replantation in a resource-limited setting achieved survival rates comparable to international standards. Success was attributed to younger patient age, shorter ischemia time, and appropriate surgical techniques. https://www.jnma.com.np/jnma/index.php/jnma/article/view/9121finger replantationfingertip replantationsurvival ratefunctional outcome |
| spellingShingle | Piyush Giri Sujan Shakya Outcomes of Finger Replantation in Western Nepal: An Observational Study Journal of Nepal Medical Association finger replantation fingertip replantation survival rate functional outcome |
| title | Outcomes of Finger Replantation in Western Nepal: An Observational Study |
| title_full | Outcomes of Finger Replantation in Western Nepal: An Observational Study |
| title_fullStr | Outcomes of Finger Replantation in Western Nepal: An Observational Study |
| title_full_unstemmed | Outcomes of Finger Replantation in Western Nepal: An Observational Study |
| title_short | Outcomes of Finger Replantation in Western Nepal: An Observational Study |
| title_sort | outcomes of finger replantation in western nepal an observational study |
| topic | finger replantation fingertip replantation survival rate functional outcome |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/9121 |
| work_keys_str_mv | AT piyushgiri outcomesoffingerreplantationinwesternnepalanobservationalstudy AT sujanshakya outcomesoffingerreplantationinwesternnepalanobservationalstudy |