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Replantation of digits - Overview

Alternative Names

Revascularization of amputated digits; Reattachment of amputated fingers

Definition of Replantation of digits:

Replantation of digits is surgery to repair completely amputated fingers or toes.

Description:

The patient is sedated using regional or general anesthesia. The bone ends may be shortened to remove tension on the repaired blood vessels. The finger or toe is put in place and the bone is stabilized with wires or a plate and screws. Tendon repairs are done next.

The nerves and vessels are then repaired with special surgical instruments. This part of the surgery is most critical to its success. The skin is then closed. A bulky dressing is applied.

Young children may need to wear a cast to protect the area from injury.

With an incomplete amputation, part of the digit stays attached to the body by skin, artery, vein, or nerve. A process called revascularization is used to reattach the rest of the digit.

Why the Procedure Is Performed:

The surgery is recommended in a case of amputated fingers or toes, when the fingers or toes are in a condition that would allow replantation.

Amputated finger

Replantation of digits - series

Reviewed last on: 7/17/2008
Andrew L. Chen, MD, MS, Orthopedist, The Alpine Clinic, Littleton, NH. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Chai Y, Kang Q, Yang Q, Zeng B. Replantation of amputated finger composite tissues with microvascular anastomosis. Microsurgery. 2008;28:314-320.

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