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[Heterotopic digital transplantation in an 80-year-old man]
N Dreant1, T Balaguer, A Martinage
1Service de chirurgie plastique et chirurgie de la main, hôpital Saint-Roch, CHU de Nice, 5, rue Pierre-Devoluy, 06006 Nice, France. ndreant@wanadoo.fr
Abstract:
The authors report a case of amputation of the first, second and third fingers of the left hand in an 80-year old man. As the thumb was not replantable, a pollicization by hetero-replantation of the index was performed as an emergency. With a 1-year follow-up, the functional result was satisfactory. Analysis of the case report again shows that in the case of thumb amputation, hetero-replantation according to the principles of "finger-bank" is the solution of choice and demonstrates its feasibility in the elderly. The authors discuss the recovery of sensation.