{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:51Z","timestamp":1740126831275,"version":"3.37.3"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               Objective To examine the efficacy of three different nerve repair methods for one-stage replantation to treat complete upper extremity amputation and long-term postoperative functional recovery.<\/jats:p><jats:p>\n               Methods Twenty-five patients underwent direct nerve anastomosis (Group A), for patients with nerve defects greater than 3\u2005cm, nerve autograft transplantation be used (Group B), or patients with nerve defects less than 3\u2005cm, nerve allograft transplantation be used (Group C) based on the severity of injury. The Disabilities of the Arm, Shoulder, and Hand (DASH) score (higher score means poorer function-less than 25 means good effect) and visual analogue scale (VAS) scores for pain at rest and under exertion were measured. Sensation recovery time and grip function were recorded.<\/jats:p><jats:p>\n               Results The mean follow-up time was 78\u2005\u00b1\u200529\u2005months. Group A had the lowest DASH score, while Group C had the highest DASH score. DASH score differed significantly between the three groups (P\u2005&lt;\u20050.001). Sensation was not restored in two patients in Group B and two patients in Group C, and there were significant between-group differences in sensation recovery (P\u2005=\u20050.001). Group C had the lowest VAS score, while Group A had the highest, and there were significant differences between groups (P\u2005=\u20050.044). Only one patient in Group C recovered grip function.<\/jats:p><jats:p>\n               Conclusion Direct nerve anastomosis should be performed whenever possible in replantation surgery for complete upper extremity amputation, as the nerve function recovery after direct nerve anastomosis is better than that after nerve autograft transplantation or nerve allograft transplantation. Two-stage nerve autograft transplantation can be performed in patients who do not achieve functional recovery long after nerve allograft transplantation.<\/jats:p>","DOI":"10.1055\/a-1640-0519","type":"journal-article","created":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T23:33:15Z","timestamp":1638919995000},"page":"534-542","source":"Crossref","is-referenced-by-count":0,"title":["Long-term follow-up of three different nerve repair strategies (repair, autografting and allografting) in one-stage replantation to treat upper extremity amputation"],"prefix":"10.1055","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0346-0283","authenticated-orcid":false,"given":"Hao","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Fuzhou Second Hospital Affiliated to Xiamen University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2549-9130","authenticated-orcid":false,"given":"Xuejun","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Fuzhou Second Hospital Affiliated to Xiamen University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1186-8078","authenticated-orcid":false,"given":"Shibei","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Fuzhou Second Hospital Affiliated to Xiamen University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4486-4623","authenticated-orcid":false,"given":"Tian","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Fuzhou Second Hospital Affiliated to Xiamen University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,7]]},"reference":[{"key":"ref1","first-page":"35","article-title":"Replantation or prosthesis: individual planning","volume":"40","author":"H P Jonas","year":"2008","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/s00590-018-2344-2","article-title":"Current concepts in peripheral nerve surgery","volume":"29","author":"A Beris","year":"2019","journal-title":"European Journal of Orthopaedic Surgery\u2005&\u2005Traumatology"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1002\/term.1707","article-title":"Safety and efficacy evaluation of a human acellular nerve graft as a digital nerve scaffold: a prospective, multicentre controlled clinical trial","volume":"9","author":"B He","year":"2015","journal-title":"Journal of Tissue Engineering and Regenerative 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Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1640-0519.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T23:34:16Z","timestamp":1638920056000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1640-0519"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":28,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2021,12,7]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1640-0519","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"type":"print","value":"0722-1819"},{"type":"electronic","value":"1439-3980"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}