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[Finger replantation in a 3-year-old child]
B D Krapohl1, T Wygold, H-G Machens
1Klinik für Chirurgie, Sektion Plastische Chirurgie, Handchirurgie, Intensiveinheit für Schwerbrandverletzte, Universitätsklinikum Lübeck.
Insights
Replantation of a child
Area of Science:
- Pediatric surgery
- Hand surgery
- Microsurgery
Background:
- Digital amputations in children present unique challenges.
- Prompt surgical intervention is crucial for successful digit replantation.
- Optimal outcomes require specialized pediatric and hand surgical expertise.
Observation:
- A 3-year-old boy sustained a proximal zone I amputation of his left index finger from a scissor injury.
- The patient was managed at a specialized center offering integrated hand surgery and pediatric care.
- Successful digital replantation was performed, with postoperative care ensuring adequate perfusion.
Findings:
- The replanted digit achieved full function and normal daily use within three months post-surgery.
- This case demonstrates the feasibility and success of digit replantation in pediatric patients.
- The level of amputation did not preclude a successful functional outcome.
Implications:
- This success supports the consideration of digit replantation for all pediatric amputations, regardless of level.
- Interdisciplinary collaboration between pediatricians and hand surgeons is vital for optimal results.
- Early and comprehensive care pathways can significantly improve functional recovery in pediatric digital trauma.
Abstract:
In this case report, we present a three year old boy who suffered an amputation of his left index finger at the level of the nail base (proximal zone I) caused by a scissor cut. Following referral to a center with hand surgical and pediatric care, successful replantation was achieved and postoperative pediatric care ensured finger perfusion. Three months postop, the reconstructed finger was in normal daily use with full function. Our success encourages for initial replantation of digits in infants in any case and irrespective of the level of amputation. Optimal results in these patients can only be achieved by interdisciplinary care of hand surgeons and pediatricians.