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Issue: Vol. 565 No. 1 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v565i1.19232
Date Published: 03/11/2026
Views 58
Downloads 28
How to Cite
Thái, D. H., Nguyễn, V. N., Trần, C., Nguyễn, Đ. T. H., & Nguyễn, K. U. (2026). SHORT-TERM OUTCOMES OF REPLANTATION OF AMPUTATED NON-THUMB DIGITS AT 108 MILITARY CENTRAL HOSPITAL. Vietnam Medical Journal, 565(1). https://doi.org/10.51298/vmj.v565i1.19232

SHORT-TERM OUTCOMES OF REPLANTATION OF AMPUTATED NON-THUMB DIGITS AT 108 MILITARY CENTRAL HOSPITAL

Doãn Hà Thái1, , Việt Nam Nguyễn2, Chiến Trần1, Điện Thành Hiệp Nguyễn2, Kha Uy Nguyễn3
1 Trường Đại học Y - Dược, Đại học Thái Nguyên
2 Bệnh viện Trung ương Quân đội 108
3 Bệnh viện Đa khoa Hà Thành

Main Article Content

Abstract

Objective: To Evaluation of short-term outcomes and factors associated with the replantation of long fingers at the 108 Military Central Hospital (2021–2026).


Subjects and methods: A descriptive cross-sectional study combining retrospective and prospective data included 56 patients with 92 replanted digits II-V from January 2021 to June 2026.


Results: Mean age was 38.0 ± 12.9 years; 71.4% were male and 87.5% had occupational injuries. Crush injuries accounted for 77.2% and zone IV injuries for 82.6%. Mean ischemia time was 7.9 ± 2.1 hours; 92.4% of amputated parts were properly preserved. Complete survival was achieved in 85/92 digits (92.4%; 95% confidence interval, 84.9%-96.9%). Survival was higher with proper than improper preservation (96.5% vs 42.9%; p<0.001).


Conclusion: Non-thumb digit replantation achieved a high early survival rate; proper preservation was the most prominent characteristic associated with survival in exploratory analysis.

Keywords

Digit replantation, finger amputation, microsurgery, surgical outcome, 108 Military Central Hospital

Article Details

References

1. Phan Đức Minh Mẫn. Đánh giá kết quả khâu nối vi phẫu thuật ngón tay đứt rời. Tạp chí Y học Thành phố Hồ Chí Minh. 2010;1:262-269.
2. Nguyễn Việt Nam. Nghiên cứu giải phẫu động mạch bàn tay, ngón tay và ứng dụng trong điều trị trồng lại bàn ngón tay đứt rời. Học viện Quân y; 2012.
3. Nguyễn Việt Tiến. Nối lại bàn tay, ngón tay bằng kỹ thuật vi phẫu - kinh nghiệm trong 9 năm. Y học Việt Nam. 2003;(số đặc biệt):13-19.
4. Chaivanichsiri P, Rattanasrithong P. Type of injury and number of anastomosed vessels: impact on digital replantation. Microsurgery. 2006;26(3):151-154.
5. Hattori Y, Doi K, Ikeda K, Abe Y, Dhawan V. Significance of venous anastomosis in fingertip replantation. Plastic and Reconstructive Surgery. 2003;111(3):1151-1158.
6. May JW Jr, Toth BA, Gardner M. Digital replantation distal to the proximal interphalangeal joint. The Journal of Hand Surgery. 1982;7(2):161-166.
7. Morrison WA, McCombe D. Digital replantation. Hand Clinics. 2007;23(1):1-12.
8. Neinstein RM, Dvali LT, Le S, Anastakis D. Complete digital amputations undergoing replantation surgery: a 10-year retrospective study. Hand. 2012;7(3):263-266.
9. Pho R, Chacha P, Yeo K, Daruwalla J. Replantation of digits using microvascular technique. Annals of the Academy of Medicine, Singapore. 1979;8(4):398.
10. Scheker LR, Becker GW. Distal finger replantation. The Journal of Hand Surgery. 2011;36(3):521-528.
11. Soucacos P. Indications and selection for digital amputation and replantation. The Journal of Hand Surgery. 2001;26(6):572-581.
12. Tamai S. Twenty years’ experience of limb replantation-review of 293 upper extremity replants. The Journal of Hand Surgery. 1982;7(6):549-556.
13. Waikakul S, Sakkarnkosol S, Vanadurongwan V, Un-nanuntana A. Results of 1018 digital replantations in 552 patients. Injury. 2000;31(1):33-40.