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Abstract Objective To compare clinical efficacy between retrograde and antegrade palm venous anastomosis in the replantation after fingertip amputation so as to provide the basis for choosing best method to recover finger-tip function in patients with fingertip amputation .[Methods] Totally 80 patients with fingertip amputation in our hospital from Oct .2010 to Oct .2013 were analyzed retrospectively .According to the replantation method for fin-gertip amputation ,all patients were divided into observation group and control group .The observation group un-derwent retrograde palm venous anastomosis and replantation ,while the control group underwent antegrade palm venous anastomosis and replantation .All patients were followed up for 1 year .The efficacy after operation was compared between two groups .[Results] The survival rates of fingertips in observation group and control group 1 year after operation were 91 .3% and 72 .3% ,respectively .The number of fingers with good shape in two groups was 89 and 77 fingers ,respectively .The number of fingers with good nail growth in two groups was 89 and 77 fin-gers ,respectively .In the observation group ,the two point discrimination was (5 .1 ± 0 .4)mm ,and the number of fingers with good touch ,normal pain sense and good motor function was 88 ,83 and 77 fingers ,respectively .In the control group ,the two point discrimination was (6 .2 ± 0 .6)mm ,and the number of fingers with good touch , normal pain sense and good motor function was 74 ,66 and 62 fingers ,respectively .There were significant differ-ences between two groups ( P <0 .05) .[Conclusion]Retrograde palm venous anastomosis and reimplantation has advantages such as high survival rate ,good shape and nail similar the normal finger ,good recovery of postopera-tive sense and motor function ,etc .Therefore ,it is an effective surgical procedure .
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2014, Vol. 31 
