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Related Experiment Videos

Digital replantation: clinical experiences.

A M MacLeod, B M O'Brien, W A Morrison

    Clinical Orthopaedics and Related Research
    |June 1, 1978
    PubMed
    Summary
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    Digital replantation achieved 74% success in revascularization. Arterial thrombosis caused most failures, but replantation offers useful digits, especially for thumbs and multiple hand injuries.

    Area of Science:

    • Microsurgery
    • Reconstructive Surgery
    • Trauma Surgery

    Background:

    • Digital replantation is a complex reconstructive procedure.
    • Success rates and common failure causes require ongoing investigation.
    • Identifying optimal indications is crucial for patient outcomes.

    Purpose of the Study:

    • To evaluate the success rate of digital replantation.
    • To identify the primary causes of failure in digital replantation.
    • To determine the indications and potential benefits of digital replantation.

    Main Methods:

    • Retrospective analysis of 130 digital replantation cases.
    • Documentation of revascularization success rates.
    • Categorization of failure causes, focusing on vascular complications.

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    Main Results:

    • Successful revascularization was achieved in 74% of cases.
    • Arterial thrombosis was the leading cause of failure, accounting for 65% of unsuccessful replantations.
    • Replantation yielded a useful digit, particularly indicated for amputated thumbs and multiple hand injuries.

    Conclusions:

    • Digital replantation can restore function, with thumbs being a key indication.
    • Vigilant hemostasis and primary tendon/nerve repair are essential for success.
    • Revisional and secondary surgeries can address complications and improve functional outcomes.