Use of nailfold capillaroscopy for the assessment of patients undergoing digit replantation and revascularization

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dc.contributor.authorKoroglu, Muhammed
dc.contributor.authorKarakaplan, Mustafa
dc.contributor.authorZontul, Sezgin
dc.contributor.authorAcet, Omer
dc.contributor.authorOzdes, Hueseyin Utku
dc.contributor.authorErgen, Emre
dc.contributor.authorAslanturk, Okan
dc.date.accessioned2026-04-04T13:30:44Z
dc.date.available2026-04-04T13:30:44Z
dc.date.issued2024
dc.departmentİnönü Üniversitesi
dc.description.abstractObjectives: In this study, we aimed to evaluate microvascular changes using nailfold capillaroscopy in patients who underwent digit replantation and revascularization. Patients and methods: A total of 46 patients (34 males, 12 females; mean age: 45.8 +/- 17.6 years; range, 18 to 75 years) who underwent replantation or revascularization procedures between February 2012 and May 2023 were retrospectively analyzed. Nailfold capillaroscopy images were assessed for various parameters including capillary count, diameter, dilatation, presence of giant capillaries, capillary disarrangement, microhemorrhages, neoangiogenesis, subpapillary plexus appearance, crossing capillaries, tortuosity, and microaneurysm. We investigated the association between microvascular alterations and clinical outcomes. Results: Of 46 patients, 25 patients underwent replantation and 21 patients underwent revascularization. Significant microvascular changes, including subpapillary venous plexus, microvascular enlargement, microhemorrhages, neoangiogenesis, and tortuosity were observed in replantation patients (p=0.000(b) , p=0.020, p=0.021(b) , p=0.001, and p=0.004, respectively). However, these changes were not significant in revascularization patients. Revascularization patients exhibited an increase in capillary diameter and disarrangement (p=0.019 and p=0.016(b) , respectively). A significant negative correlation existed between digital nerve repairs and microvascular enlargement in replantation patients. Hyperesthesia was significantly correlated with neoangiogenesis and capillary disarrangement, while a statistically significant positive relationship was found between subpapillary venous plexus and patient satisfaction in replantation patients. Conclusion: Our study showed that replantation patients who underwent two nerve repairs exhibited a well-regulated microvascular tone. However, we did not observe a statistically significant relationship between the number of nerve repairs and cold intolerance. Based on these findings, we highlight the potential of nailfold capillaroscopy in detecting microvascular changes following replantation and revascularization, which may contribute to a better understanding of the etiology of neurovascular complications.
dc.identifier.doi10.52312/jdrs.2025.1900
dc.identifier.issn2687-4792
dc.identifier.orcid0000-0002-8892-494X
dc.identifier.orcid0000-0001-9035-0319
dc.identifier.orcid0000-0002-6452-2401
dc.identifier.orcid0000-0001-5730-2286
dc.identifier.orcid0000-0003-1300-3393
dc.identifier.orcid0000-0001-9035-0319
dc.identifier.orcid0000-0001-6167-3952
dc.identifier.pmid39719903
dc.identifier.scopus2-s2.0-85213932069
dc.identifier.scopusqualityQ2
dc.identifier.trdizinid1336986
dc.identifier.urihttps://doi.org/10.52312/jdrs.2025.1900
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1336986
dc.identifier.urihttps://hdl.handle.net/11616/108341
dc.identifier.wosWOS:001339620500001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Joint Diseases Foundation
dc.relation.ispartofJoint Diseases and Related Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectCapillaroscopy
dc.subjectcold intolerance
dc.subjectdigit
dc.subjectnailfold
dc.subjectreplantation
dc.subjectrevascularization
dc.titleUse of nailfold capillaroscopy for the assessment of patients undergoing digit replantation and revascularization
dc.typeArticle

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