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[Heterotopic replantation]

S Ada1, F Ozerkan, I Kaplan

  • 1Krankenhaus für Hand-und Microchirurgie, Izmir/Türkei.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|November 1, 1995
PubMed
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Heterotopic replantation, or reattaching a finger to a different part of the hand, can yield satisfying functional results. This procedure is particularly valuable for thumb reconstruction, improving patient outcomes.

Area of Science:

  • Hand surgery
  • Microsurgery
  • Reconstructive surgery

Context:

  • Multidigital amputations present complex reconstructive challenges.
  • Traditional replantation may not always yield optimal functional outcomes.
  • Alternative strategies like heterotopic replantation are explored for improved results.

Purpose:

  • To evaluate the functional outcomes of heterotopic replantation in digits.
  • To assess the efficacy of replanting amputated digits to different proximal sites.
  • To determine the value of heterotopic replantation in primary thumb reconstruction.

Summary:

  • Twelve digits in eleven patients underwent heterotopic replantation between October 1991 and March 1994.
  • Digits were replanted to various locations including the thumb, index, middle, and ring fingers.

Related Experiment Videos

  • Functional assessments included total active range of motion (24% of normal), static two-point discrimination (8.5 mm), and Semmes-Weinstein test values (3.61-6.5].

    • Impact:

    • Heterotopic replantation can achieve satisfying functional results in cases of multidigital amputations.
    • This technique offers a viable option for improving function, especially in thumb reconstruction.
    • Satisfying functional outcomes were observed, indicating the potential of this reconstructive approach.