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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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Published on: May 23, 2025

Upper extremity and digital replantation.

Marco Maricevich1, Brian Carlsen, Samir Mardini

  • 1Department of Surgery, Mayo Clinic, 200 First Street, S.W., Rochester, MN 55905 USA.

Hand (New York, N.Y.)
|December 4, 2012
PubMed
Summary
This summary is machine-generated.

Digital replantation is a successful reconstructive surgery for hand surgeons. Achieving optimal function requires not only microvascular anastomosis but also adequate bone, tendon, skin, and nerve repairs for best outcomes.

Keywords:
AmputationDigitalReplantationUpper extremity

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Area of Science:

  • Microsurgery
  • Reconstructive Surgery
  • Hand Surgery

Background:

  • Digital replantation is a recognized procedure in reconstructive hand surgery.
  • High survival rates have been reported by numerous international replantation centers.
  • Restoring normal hand or digital function is the primary objective of replantation.

Purpose of the Study:

  • To review the literature on upper extremity and digital replantation.
  • To cover the historical background, current surgical outcomes, indications, contraindications, and patient management.

Main Methods:

  • Literature review of digital and upper extremity replantation studies.
  • Analysis of historical data and current surgical outcomes.
  • Examination of preoperative, operative, and postoperative management protocols.

Main Results:

  • Replantation success depends on microvascular anastomosis and comprehensive repairs (bone, tendon, skin, nerve).
  • Established indications and contraindications guide surgical decision-making.
  • Detailed patient management protocols are crucial for optimal outcomes.

Conclusions:

  • Digital replantation is a viable option with high success rates when performed by experienced teams.
  • Holistic surgical repair, beyond vascular anastomosis, is essential for functional restoration.
  • Adherence to established guidelines for patient selection and management maximizes success.