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Related Experiment Videos

Transpositional microsurgery in multiple digital amputations

P N Soucacos1, A E Beris, K N Malizos

  • 1Department of Orthopaedic Surgery, University of Ioannina School of Medicine, Greece.

Microsurgery
|January 1, 1994
PubMed
Summary

Transpositional digital microsurgery offers a viable solution for multiple finger amputations. This technique moves amputated digits to more functional stumps, improving hand function and patient satisfaction.

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Area of Science:

  • Microsurgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Multiple digital amputations pose significant challenges for hand function.
  • Traditional replantation may not be feasible for severely damaged digits or stumps.

Purpose of the Study:

  • To evaluate the efficacy of transpositional digital microsurgery for multiple digit amputations.
  • To assess functional and cosmetic outcomes of transposed digits and thumbs.

Main Methods:

  • Transpositional digital microsurgery involved replanting amputated digits to more functional stumps.
  • Surgical procedures included digit transposition (28 patients) and thumb transposition (6 patients).

Main Results:

  • High survival rates for transposed digits (56/62) and thumbs (6/6).

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  • Acceptable cosmetic results and functional recovery, with two-point discrimination of 10-14 mm.
  • Functional outcomes comparable to digits replanted in their anatomical position.
  • Conclusions:

    • Transpositional digital microsurgery is a valuable alternative for treating multiple digit amputations.
    • It is particularly beneficial when replantation to the anatomical position is not possible due to severe damage.