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Synchronous Retrograde Replantation Method for the Repair of Completely Severed Toes: A Four-Year Follow-Up
Qianheng Jin1, Lei Xu1, Jihui Ju1
1Suzhou Ruihua Orthopedic Hospital Suzhou Jiangsu China.
Clinical Case Reports
|September 15, 2025
Summary
Synchronous retrograde replantation successfully restored five-toe amputations. This complex technique yielded excellent long-term functional and cosmetic results for multiple digital amputations.
Area of Science:
- Microsurgery
- Reconstructive Surgery
- Trauma Surgery
Background:
- Traumatic amputation of multiple digits presents significant reconstructive challenges.
- Successful replantation requires meticulous surgical technique and prompt revascularization.
Purpose of the Study:
- To evaluate the efficacy of synchronous retrograde replantation for multiple five-toe traumatic amputations.
- To assess the long-term functional and cosmetic outcomes following this complex reconstructive procedure.
Main Methods:
- Synchronous retrograde replantation technique was employed for five-toe traumatic amputations.
- Vascular anastomosis was meticulously performed to ensure immediate revascularization.
- Patient outcomes were monitored for functional and cosmetic results at a 4-year follow-up.
Main Results:
- All replanted toes achieved complete survival.
- Excellent functional and cosmetic outcomes were maintained at the 4-year follow-up.
- The technique proved effective for multiple digital amputations, despite its complexity.
Conclusions:
- Synchronous retrograde replantation is a viable and effective treatment for multiple five-toe traumatic amputations.
- Meticulous vascular anastomosis is crucial for successful replantation and long-term viability.
- This complex surgical approach offers excellent functional and cosmetic restoration in selected cases.

