Related Experiment Videos
Restoration of basic hand function by double transpositional digital replantation in five-digit amputations.
Tai-Ju Cheng1, Nai-Chen Cheng, Yueh-Bih Tang
1Division of Plastic Surgery, Department of Surgery, En Chu Kong Hospital, Taipei, Taiwan.
Journal of Reconstructive Microsurgery
|April 17, 2004
Summary
Selective digital replantation, or transpositional replantation, offers functional benefits for severe hand injuries. This technique prioritizes optimal outcomes by repositioning viable digits, even from different anatomical sites.
Area of Science:
- Reconstructive surgery
- Hand surgery
- Trauma surgery
Background:
- Replantation of multiple digits after severe crush injury presents challenges.
- Digits with poor prognoses often yield unfavorable outcomes.
- Selective replantation aims to optimize functional results.
Observation:
- A case of right-hand crush injury with complete amputation of all five digits was analyzed.
- The procedure involved double transpositional digital replantations.
- No additional reconstructive procedures were required.
Findings:
- Basic hand function was successfully restored through transpositional replantation.
- This approach preserved significant hand function.
- The necessity for secondary operations was reduced.
Implications:
- Transpositional replantation is a viable strategy for selected cases of multiple digital amputations.
- This technique can enhance functional preservation in severe hand trauma.
- Consideration of transpositional replantation is recommended for complex digital injuries.