{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:35:48Z","timestamp":1777880148599,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T00:00:00Z","timestamp":1595203200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Plast Surg (Oakv)"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Since 1965, the practice of digital replantation has seen great technical strides and become commonplace worldwide. However, some American authors have recently reported declining rates of replantation. We set out to characterize the patient population and describe treatment patterns from 2005 to 2016 at a large Canadian regional replantation center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective cohort of all patients undergoing digital replantation and revascularization from 2005 to 2016 was identified. Data were collected on demographics, injuries, procedures, and outcomes. Descriptive statistics were performed, followed by a comparison of two 5-year periods to evaluate temporal trends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 234 patients were treated with 146 replantation and 204 revascularization procedures. Patients were largely male, healthy, and worked as manual labourers. Overall, the failure rate of individual repairs was 28.7%. Over time, there was a trend toward more crush or avulsion and multidigit injuries, and surgeries performed after 2011 were significantly longer. There was a significant downward trend in the number of patients treated at our center each year. Additionally, there was a statistically significant decrease in the proportion of replanted to revised digits in multidigit cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Our observation of declining replantation rates is in line with recent American observations. The reason for this is not obvious but may represent a change in injury characteristics or surgeon attitudes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We suspect that these changes represent a change in workplace safety and injury characteristics, but further studies are needed to assess patient and surgeon treatment decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2292550320925914","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T05:06:37Z","timestamp":1595221597000},"page":"21-29","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Trends in Digital Replantation: 10 Years of Experience at a Large Canadian Tertiary Care Center: Les tendances de la replantation digitale : dix ans d\u2019exp\u00e9rience d\u2019un grand centre canadien de soins tertiaires"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6965-7700","authenticated-orcid":false,"given":"Ogi","family":"Solaja","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, University of Ottawa, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5215-0404","authenticated-orcid":false,"given":"Helene","family":"Retrouvey","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Baltzer","sequence":"additional","affiliation":[{"name":"Toronto Western Hospital, Division of Plastic and Reconstructive Surgery, University of Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,7,20]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Masuhara K Tamai S Fukunishi H Obama K Komatsu S. Experience with reanastomosis of the amputated thumb. Seikei Geka. 1967;18(4):403\u2013404. Accessed August 7 2017. http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/6071079"},{"key":"e_1_3_2_3_2","unstructured":"Hadley SR Capo JT. Digit replantation the first 50 years. Bull Hosp Jt Dis. 2015;73(2):148\u2013155. Accessed August 7 2017. http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26517169"},{"key":"e_1_3_2_4_2","doi-asserted-by":"crossref","unstructured":"Waikakul S Sakkarnkosol S Vanadurongwan V Un-Nanuntana A. Results of 1018 digital replantations in 552 patients. Injury. 2000;31(1):33\u201340. 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Definitions and classifications in replantation surgery. Br J Plast Surg. 1980;33(2):164\u2013168. Accessed August 16 2017. http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/7388205","DOI":"10.1016\/0007-1226(80)90006-5"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcma.2015.03.005"},{"key":"e_1_3_2_23_2","unstructured":"Workplace Safety and Insurance Board (WSIB). Discussion and analysis. WSIB By the Numbers. Published 2016. Accessed August 24 2017. http:\/\/www.wsibstatistics.ca\/S1\/DiscussionandAnalysis_WSIBByTheNumbers_P.php"},{"key":"e_1_3_2_24_2","doi-asserted-by":"crossref","unstructured":"Morrison WA O\u2019Brien BM MacLeod AM. Evaluation of digital replantation\u2014a review of 100 cases. Orthop Clin North Am. 1977;8(2):295\u2013308. 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