Revascularization of the digits and palm
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Updated: Oct 4, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
1Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, Kentucky, USA.
Abstract:
In 1962, Kleinert and Kasden performed the first successful revascularization of an incompletely amputated thumb. This was followed, in 1965, by Komatsu and Tamai, who performed the first successful replantation of a thumb. Since then, microsurgery has helped to solve a wide variety of difficult surgical problems and achieve a more functional and cosmetically acceptable digit. These problems include ring avulsions, distal finger amputations, and degloved skin.
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