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Replantation of digits

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Definition:

Replantation of digits is the surgical repair of completely amputated fingers or toes. With an incomplete amputation part of the digit remains attached to the body by skin, artery, vein, or nerve. A process called revascularization is used to reattach the rest of the digit.

Alternative Names:

Revascularization of amputated digits; Reattachment of amputated fingers

Description:

While the patient is sedated, using regional or general anesthesia, the bone ends may be shortened to remove tension on the repaired blood vessels. The digit 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.

Indications:

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.

• Review Date: 11/2/2006
• Reviewed By: Thomas N. Joseph, MD, Private Practice specializing in Orthopaedics, subspecialty Foot and Ankle, Camden Bone & Joint, Camden, SC. Reviewprovided by VeriMed Healthcare Network.

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