Assessment of survival rates compared according to the Tamai and Yamano classifications in fingertip replantations

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dc.contributor.authorDadaci, Mehmet
dc.contributor.authorInce, Bilsev
dc.contributor.authorAltuntas, Zeynep
dc.contributor.authorBitik, Ozan
dc.contributor.authorKamburoglu, Haldun Onuralp
dc.contributor.authorUzun, Hakan
dc.date.accessioned2024-02-23T14:37:41Z
dc.date.available2024-02-23T14:37:41Z
dc.date.issued2016
dc.departmentNEÜen_US
dc.description.abstractBackground: The fingertip is the most frequently injured and amputated segment of the hand. There are controversies about defining clear indications for microsurgical replantation. Many classification systems have been proposed to solve this problem. No previous study has simultaneously correlated different classification systems with replant survival rate. The aim of the study is to compare the outcomes of fingertip replantations according to Tamai and Yamano classifications. Materials and Methods: 34 consecutive patients who underwent fingertip replantation between 2007 and 2014 were retrospectively reviewed with respect to the Tamai and Yamano classifications. The medical charts from record room were reviewed. The mean age of the patients was 36.2 years. There were 30 men and 4 women. All the injuries were complete amputations. Of the 34 fingertip amputations, 19 were in Tamai zone 2 and 15 were in Tamai zone 1. When all the amputations were grouped in reference to the Yamano classification, 6 were type 1 guillotine, 8 were type 2 crush and 20 were type 3 crush avulsions. Results: Of the 34 fingertips, 26 (76.4%) survived. Ten (66.6%) of 15 digits replanted in Tamai zone 1 and 16 (84.2%) of 19 digits replanted in Tamai zone 2 survived. There were no replantation failures in Yamano type 1 injuries (100%) and only two failed in Yamano type 2 (75%). Replantation was successful in 14 of 20 Yamano type 3 injuries, but six failed (70%). The percentage of success rates was the least in the hybridized groups of Tamai zone 1-Yamano type 2 and Tamai zone 1-Yamano type 3. Although clinically distinct, the survival rates between the groups were not statistically significantly different. Conclusions: The level and mechanism of injury play a decisive role in the success of fingertip replantation. Success rate increases in proximal fingertip amputations without crush injury.en_US
dc.identifier.doi10.4103/0019-5413.185602
dc.identifier.endpage389en_US
dc.identifier.issn0019-5413
dc.identifier.issn1998-3727
dc.identifier.issue4en_US
dc.identifier.pmid27512220en_US
dc.identifier.scopus2-s2.0-84979021796en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage384en_US
dc.identifier.urihttps://doi.org/10.4103/0019-5413.185602
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16202
dc.identifier.volume50en_US
dc.identifier.wosWOS:000381289600008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMedknow Publications & Media Pvt Ltden_US
dc.relation.ispartofIndian Journal Of Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFingertip Replantationen_US
dc.subjectSurvival Rateen_US
dc.subjectTamai Classificationen_US
dc.subjectYamano Classification Mesh Terms: Finger Injuriesen_US
dc.subjectTraumaen_US
dc.subjectSurvival Rateen_US
dc.subjectReplantationen_US
dc.subjectAmputationen_US
dc.titleAssessment of survival rates compared according to the Tamai and Yamano classifications in fingertip replantationsen_US
dc.typeArticleen_US

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