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Related Experiment Videos

Digital replantation in children.

G L Cheng, D D Pan, Z X Yang

    Annals of Plastic Surgery
    |October 1, 1985
    PubMed
    Summary

    Pediatric digital replantation achieved a 96.6% success rate in 32 traumatically amputated digits across 21 children. This study highlights successful outcomes even with long ischemic times, offering hope for similar cases.

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    Area of Science:

    • Pediatric surgery
    • Microsurgery
    • Trauma surgery

    Background:

    • Traumatic digital amputations are common in children.
    • Digital replantation in pediatric patients presents unique challenges.
    • Successful replantation restores function and improves quality of life.

    Purpose of the Study:

    • To report the outcomes of digital replantation in a pediatric cohort.
    • To identify critical technical factors contributing to successful replantation in children.
    • To evaluate the survival rate and functional recovery following digital replantation.

    Main Methods:

    • Retrospective case series of 21 children with 32 amputated digits.
    • Analysis of amputation levels, ischemic times, and surgical techniques.
    • Documentation of replantation success and complications.

    Main Results:

    • Overall digital survival rate of 96.6% (31 out of 32 digits).
    • Amputation levels included proximal phalanx, proximal interphalangeal joint, middle phalanx, and distal interphalangeal joint.
    • Successful replantation achieved despite an ischemic time of up to 28 hours.

    Conclusions:

    • Digital replantation in children can achieve high survival rates.
    • Careful surgical technique and management of ischemic time are crucial for success.
    • Replantation offers a viable option for traumatic digital amputations in pediatric patients.

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