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Ten-digit replantation.

F C Wei, C C Chuang, H C Chen

Plastic and Reconstructive Surgery

|December 1, 1984

Summary

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Replantation of ten digits was successful in seven cases. Subsequent procedures improved function and sensation, with toe-to-hand transfer reconstructing a failed thumb replantation.

Area of Science:

Hand surgery
Microsurgery
Orthopedic surgery

Background:

Digit replantation is a complex procedure with variable outcomes.
Proximal phalangeal level amputations present unique challenges for replantation.

Observation:

A case series involving replantation of ten digits at the proximal phalangeal level.
Seven of the ten replanted digits survived.
Secondary procedures including osteotomies and flexor tenolysis were performed on multiple digits.
A toe-to-hand transfer was utilized to reconstruct a previously failed thumb replantation.

Findings:

Successful replantation was achieved in 70% of cases.
Secondary interventions significantly improved functional and sensory recovery.

Related Experiment Videos

Toe-to-hand transfer provided a viable solution for failed replantation, restoring thumb function.

Implications:

This case series highlights the potential for successful digit replantation even at the proximal phalangeal level.
Secondary reconstructive procedures can salvage suboptimal outcomes and enhance functional restoration.
Toe-to-hand transfer is a valuable reconstructive option for complex hand injuries and failed replantations.