Related Experiment Video
Updated: Aug 22, 2026
Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
[Fingertip replantation after amputation: report of 32 fingers]
Gao-hong Ren1, Guo-xian Pei, Li-qiang Gu
1Department of Orthopedics and Traumatology of PLA, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China. rgaoh@163.com
Objective:
To describe the surgical techniques and our experiences in fingertip replantation after amputation.
Methods:
On the basis of examination of the anatomic features and the degree of fingertip vascular injury, 32 amputated fingertips in 26 cases were replanted, and flexible revascularization procedures of both artery and vein anastomoses, artery-only anastomosis, arterialized vein and arteriovenous anastomosis were adopted. All the replanted fingertips were trained with comprehensive rehabilitation program.
Results:
Twenty-nine replanted fingertips survived but 3 failed, and the overall survival rate was 90.06%. During the follow-up lasting from 4 months to 5 years, the 29 replanted fingertips survived with excellent blood supply, good sensory functions, satisfactory shape and functions according to the criteria by Society of Hand Surgery of Chinese Medical Association.
Conclusions:
Fingertip replantation after amputation can achieve not only high survival rate but also satisfactory appearance and functions as long as appropriate operative procedures are adopted with comprehensive rehabilitation therapy.
