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Related Experiment Video

Updated: Jan 10, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

Published on: May 23, 2025

Digital and Upper Limb Replantation.

Shu Guo Xing¹, Jin Bo Tang¹

¹Department of Hand Surgery, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong, 226001, Jiangsu, China.

Clinics in Plastic Surgery

|November 20, 2025

Summary

This summary is machine-generated.

Digital replantation surgery is expanding, but challenges remain in ischemia time, specific amputation levels, and fingertip replantation. Success hinges on vascular anastomosis, functional recovery, and pain prevention for patient independence.

Keywords:

Amputation Complex hand trauma Digital Microvascular Reconstruction Replantation Revascularization Upper limb

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Published on: September 28, 2019

Area of Science:

Orthopedic Surgery
Microsurgery
Reconstructive Surgery

Background:

Surgical indications for digital replantation are expanding.
Controversial aspects include ischemia time limits, amputation levels, and fingertip replantation.
Complex cases challenge current replantation techniques.

Purpose of the Study:

To review the evolving indications and challenges in digital replantation.
To highlight the importance of vascular anastomosis.
To identify future targets for improving functional and sensory outcomes.

Main Methods:

Review of current literature on digital replantation.
Analysis of factors influencing success in complex cases.
Discussion of guiding principles for patient selection.

Main Results:

Vascular anastomosis is critical for successful digital replantation.
Functional results and sensory recovery remain key challenges.
Patient independence, function preservation, and pain prevention guide operative candidacy.

Conclusions:

Digital replantation indications are broadening, pushing surgical limits.
Focus on vascular anastomosis, functional recovery, and pain management is essential.
Careful patient selection based on functional goals is paramount for successful replantation.