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Ten-digit and nine-digit replantation (4 cases)
1Institute of Plastic, Reconstructive and Craniofacial Surgery, Inje University College of Medicine, Seoul, Korea.
British Journal of Plastic Surgery
|August 1, 1992
Summary
Replanting ten or nine digits after complete amputation is rare but achievable. Successful replantation, even after prolonged ischemia, can restore good function and appearance.
Area of Science:
- Reconstructive surgery
- Microsurgery
- Trauma surgery
Background:
- Complete amputation of multiple digits is a rare and severe injury.
- Successful replantation of digits requires careful patient selection and surgical expertise.
Observation:
- This study reports on four cases of multiple digit amputations (two 10-digit and two 9-digit) between March 1987 and June 1988.
- The maximum ischemia time was 39 hours, with operative times ranging from 25 to 31 hours.
Findings:
- All replanted digits survived completely, with only one finger experiencing partial necrosis.
- Post-operative follow-up of 13-20 months showed all patients achieved functional and aesthetically acceptable hands.
Implications:
- These findings demonstrate the potential for successful digit replantation even in cases of extensive amputation and prolonged ischemia.
- The study highlights the importance of microsurgical techniques in managing complex hand trauma and restoring patient quality of life.