Replantations and free flap transfers by microvascular surgery

We have replanted 11 digits and two hands, with only one failure (a digit). Eight free groin flaps and one free dorsalis pedis flap transfer were performed, resulting in 5 complete survivals, two partial necroses, one superficial necrosis, and one failure. One hallux-to-thumb transfer was done, with a good result. We note the essential differences between doing replantations and free flap transfers.