Hand and distal forearm replantation--immediate and long-term follow-up

Six cases of traumatic amputation of hand and/or forearm were treated by replantation over the last 20 years at this hospital. Reattachment was successful in all of the cases. Success was largely due to proper selection of cases, meticulous technique and availability of skilled manpower and technological help. Although survival of replanted part was achieved in all cases, functional success was not uniform as revealed by subjective and objective criteria used during evaluation and follow-up. Tamai method of scoring the functional aspect of a replanted part not only indicates the functional ability of a replanted part but also creates uniformity in data collection for easier comparison with other reported series.