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Microvascular digit transposition following a two-digit amputation in an infant
1Christine M. Kleinert Institute for Hand and Micro Surgery, University of Louisville School of Medicine, Kentucky.
Journal of Reconstructive Microsurgery
|January 1, 1992
Summary
A thumb amputation in an infant was successfully treated by transposing an index finger. This emergency microvascular digit transposition in an 11-month-old resulted in excellent hand function and is the youngest reported case.
Area of Science:
- Pediatric microsurgery
- Hand reconstructive surgery
- Pediatric orthopedics
Background:
- Digit amputations in children require specialized approaches for optimal hand function.
- Replanted digits in pediatric patients have lower viability but can achieve excellent outcomes if successful.
Observation:
- An 11-month-old infant sustained a severely mangled thumb amputation unsuitable for replantation.
- An emergency microvascular index finger transposition to the thumb position was performed.
Findings:
- Postoperative follow-up at six months demonstrated satisfactory joint motion and restored sensibility in the transposed digit.
- Digit growth remained unimpaired, indicating successful functional integration.
Implications:
- This case represents the youngest patient to undergo successful emergency microvascular digit transposition.
- Digit transposition is a viable option for thumb reconstruction in pediatric trauma, offering excellent functional recovery.