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Updated: May 8, 2026

Microscopic Replantation of Penile Glans Amputation Due to Circumcision
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Complete digital amputations undergoing replantation surgery: a 10-year retrospective study.

Ryan M Neinstein1, Linda T Dvali, Suzanne Le

  • 1Department of Plastic and Reconstructive Surgery, University of Toronto, Toronto, ON Canada.

Hand (New York, N.Y.)
|September 3, 2013
PubMed
Summary

Replantation surgery for complete digital amputations shows trends in injury mechanisms and outcomes. Complete amputations have a higher failure rate compared to incomplete ones.

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Area of Science:

  • Hand surgery
  • Microsurgery
  • Trauma surgery

Background:

  • Replantation surgery has advanced beyond simple reattachment.
  • Expertise in microsurgery enhances outcomes for amputated digits.

Purpose of the Study:

  • To assess trends in complete digital amputations undergoing replantation.
  • To analyze factors influencing outcomes in complex replantation cases.

Main Methods:

  • Retrospective study of 171 patients with 278 complete digital amputations.
  • Exclusion of all incomplete and partial amputations.
  • Data collected from January 1, 1994, to December 31, 2003.

Main Results:

  • 53% of injuries were work-related, with saw injuries being the most common mechanism.
Keywords:
Complete amputationsOutcomes

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  • The thumb and proximal phalanx were most frequently involved; injuries occurred more in summer.
  • Microvascular failure occurred in 29% of replanted digits, particularly with avulsion injuries.

    • Conclusions:

    • Complete digital amputations present greater complexity than incomplete ones.
    • Higher failure rates are associated with complete amputations.
    • Understanding injury trends aids in improving replantation outcomes.