{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T05:31:41Z","timestamp":1759815101340},"reference-count":12,"publisher":"World Scientific Pub Co Pte Ltd","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>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\u2019s level of skill. The present study\u2019s aim is to obtain clinical evidence for postoperative antithrombotic therapy in replantation, with antithrombotic therapy being the only variable.<\/jats:p><jats:p>Methods: This was a single-center retrospective study of patients who underwent replantation of a completely amputated digit by the same surgeon. The subject sample included 17 patients\/19 digits (group A) in whom heparin and prostaglandin E1 (PGE1) were used postoperatively during a 1-year period, 19 patients\/22 digits (group B) in whom heparin was not used postoperatively but PGE1 was used for a 1-year period, and 16 patients\/19 digits (group C) in whom neither heparin not PGE1 were used postoperatively for a 1-year period.<\/jats:p><jats:p>Results: Patient background and surgical procedure were not significantly different among groups, and only the postoperative use of heparin and\/or PGE1 showed differences. Incidence of arterial occlusion, venous occlusion, or vascular spasm were not significantly different among groups (arterial occlusion: 1 digit in group A, 2 in group B, and two in group C, p = 1; venous occlusion: 1 digit in group A, 2 in group B, and three in group C, p = 0.67; vascular spasm: 1 digit in group A, 2 in group B, and one in group C, p = 1). Postoperative bleeding was significantly more common in the group using heparin (7 patients in group A, 0 in group B, and zero in group C, p &lt; 0.001).<\/jats:p><jats:p>Conclusions: These results suggest that heparin and PGE1 administration do not improve impaired blood flow following replantation. Considering the potential complications, heparin and PGE1 following replantation do not seem necessary.<\/jats:p>","DOI":"10.1142\/s2424835519500012","type":"journal-article","created":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T05:41:56Z","timestamp":1550122916000},"page":"1-5","source":"Crossref","is-referenced-by-count":11,"title":["Is Antithrombotic Therapy Necessary Following Replantation of an Amputated Digit?"],"prefix":"10.1142","volume":"24","author":[{"given":"Takeo","family":"Matsusue","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Kansai Electric Power Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2019,2,13]]},"reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.02.023"},{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920060109"},{"issue":"2","key":"p_3","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/S0030-5898(20)30695-7","volume":"8","author":"Kleinert HE","year":"1977","journal-title":"Orthop Clin North Am."},{"issue":"6","key":"p_4","first-page":"665","volume":"87","author":"Veravuthipakorn L","year":"2004","journal-title":"J Med Assoc Thai."},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000299267.84139.2a"},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199809010-00015"},{"issue":"3","key":"p_7","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1002\/micr.20758","volume":"30","author":"Kruse AL","year":"2010","journal-title":"Microsurgery."},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(82)80100-7"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2012.244"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.08.008"},{"issue":"4","key":"p_11","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1016\/S0030-5898(20)31302-X","volume":"14","author":"Kutz JE","year":"1983","journal-title":"Orthop Clin North Am."},{"key":"p_12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.08.009"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835519500012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,11]],"date-time":"2022-09-11T21:20:29Z","timestamp":1662931229000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/abs\/10.1142\/S2424835519500012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,13]]},"references-count":12,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2019,2,13]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1142\/S2424835519500012"],"URL":"https:\/\/doi.org\/10.1142\/s2424835519500012","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,13]]}}}