COLD-INDUCED VASOSPASM AFTER DIGITAL REPLANTATION DOES NOT IMPROVE WITH TIME - A 12-YEAR PROSPECTIVE-STUDY

The incidence of cold-induced vasospasm after hand injuries has been r eported to be as high as 100%, following replanted digital amputations . The exact cause of this problem is obscure, no specific treatment is available and little is known about the long-term prognosis. Further knowledge is therefore needed in order to advise patients concerning f uture job potential at an early stage. In a previous paper we evaluate d the incidence and severity of cold intolerance 2 years after digital replantation. The incidence of cold-induced vasospasm then was high a s well as the discomfort experienced by the patients. We carried out a follow-up of patients previously examined 10 years ago. Our results s how that cold induced vasospasm in replanted digits does not improve w ith time. Patients with moderate symptoms may perceive improvement, pr obably due to a change of habits. Patients with severe problems did no t experience improvement and should be given early advice to seek work in warm surroundings to reduce the discomfort.