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Indications and surgical techniques for digit replantation
1NYU-Hospital for Joint Diseases, Department of Orthopaedic Surgery, New York, New York, USA.
Bulletin (Hospital for Joint Diseases (New York, N.Y.))
|July 10, 2002
Summary
Finger amputations can be successfully treated with modern microvascular surgery. Replantation offers high patient satisfaction and functional recovery, especially for thumbs, multiple digits, and children.
Area of Science:
- Orthopedics
- Microsurgery
- Trauma Surgery
Background:
- Finger amputations are severe injuries, often caused by workplace accidents involving power tools or machinery.
- Microvascular surgical techniques have advanced significantly, improving outcomes for reattaching amputated digits.
Purpose of the Study:
- To review the current indications and outcomes of finger replantation surgery.
- To highlight the technical demands and success factors in digit reattachment.
Main Methods:
- Review of modern microvascular surgical techniques for finger replantation.
- Analysis of operative indications, including thumb, multiple digit, and pediatric amputations.
- Evaluation of patient selection, surgical technique, and postoperative care.
Main Results:
- Replantation is recommended for thumb, multiple digit, and specific single digit amputations, as well as all pediatric amputations.
- Successful outcomes include protective sensation and useful range of motion in most replanted digits.
- Common complications include joint stiffness, adhesions, malunion, and cold intolerance.
Conclusions:
- Finger replantation is a technically demanding procedure with high patient satisfaction.
- Improved surgical experience and refined indications have enhanced digit viability and functional recovery.
- Despite potential complications, successful replantation offers significant benefits for patients with devastating finger injuries.