Abualhaj Saleh, Abualhaj Mosleh M, Alshadfan Lina, As'ad Anas, Kharashgah Mohamad, Al-Tawarah Tayseer A, Alkhatib Abed Alazeez, Aljaidi Mohammad
Department of General Surgery, Al-Balqa Applied University, Salt, Jordan.
Department of General Surgery, King Hussein Cancer Center (KHCC), Amman, Jordan.
Future Sci OA. 2025 Dec;11(1):2557782. doi: 10.1080/20565623.2025.2557782. Epub 2025 Sep 8.
Finger replantation is a complex microsurgical procedure that requires optimal conditions for success. Understanding the knowledge and awareness of healthcare professionals regarding finger preservation and replantation can help improve outcomes for patients with amputated fingers.
A cross-sectional survey was conducted among healthcare professionals, including clinical years medical students, surgical residents, and specialists. The survey assessed participants' knowledge of factors influencing the finger replantation success, the appropriate management of amputated fingers before surgery, the ideal time for replantation, and key considerations for finger preservation.
Among 197 participants, 81.2% correctly identified finger replantation as a surgical procedure to reattach a severed finger. However, 9.6% incorrectly believed it was a technique to preserve the finger for later reattachment. The most frequently reported barriers to performing finger replantation included lack of training or expertise (78.2%), limited access to specialized surgical instruments (66.5%), and financial constraints (61.9%). Significant differences were found across professional groups regarding perceived barriers, particularly in terms of training, access to surgical instruments, and infrastructure.
While general knowledge of finger replantation is high, key misconceptions and barriers; like limited training, resources, and funding, persist. Improving education, infrastructure, and specialized programs is vital to expanding access and enhance outcomes.
手指再植是一项复杂的显微外科手术，需要具备成功的最佳条件。了解医护人员对手指保存和再植的知识与认识，有助于改善断指患者的治疗效果。
对医护人员进行了一项横断面调查，包括临床医学生、外科住院医师和专家。该调查评估了参与者对影响手指再植成功的因素、术前断指的适当处理、理想的再植时间以及手指保存的关键注意事项的了解情况。
在197名参与者中，81.2%正确地将手指再植识别为重新接上断指的外科手术。然而，9.6%错误地认为这是一种保存手指以便日后再植的技术。报告的进行手指再植最常见的障碍包括缺乏培训或专业知识（78.2%）、难以获得专用手术器械（66.5%）和经济限制（61.9%）。不同专业群体在感知到的障碍方面存在显著差异，特别是在培训、获得手术器械和基础设施方面。
虽然对手指再植的一般知识水平较高，但关键的误解和障碍，如培训有限、资源和资金不足等仍然存在。改善教育、基础设施和专门项目对于扩大可及性和提高治疗效果至关重要。
