[Finger replantation in children]

Area of Science:

• Microsurgery
• Trauma Surgery
• Pediatric Surgery

Context:

• Discusses the viability of limb replantation for pediatric amputation injuries.
• Highlights indications for replantation, including multiple amputations and severe crush injuries.
• Reviews outcomes from a dedicated replantation center, including over 600 limb surgeries.

Purpose:

• To evaluate the success rates and indications for replantation in pediatric patients.
• To assess the feasibility of microvascular anastomoses for replanting digits in young children.
• To establish the required operative standards for complex pediatric replantation cases.

Summary:

• Over half of replanted fingers in children healed successfully.
• Successful replantation rates for adults with totally/subtotally separated limbs reached 87%.
• Microvascular replantation attempts were made on digits of 14 children (ages 1-8).

Impact:

• Replantation is a viable option for severe pediatric limb injuries, including crush and contaminated wounds.
• High standards of surgical technique are crucial for successful outcomes in pediatric replantation.
• The study contributes to understanding the potential of limb salvage in pediatric trauma.