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Revascularization of amputated digits; Reattachment of amputated fingers
Replantation of digits is surgery to reattach completely amputated fingers or toes.
This procedure is done using regional or general anesthesia. The ends of the bone may be shortened to remove tension on the repaired blood vessels. The surgeon places the finger or toe (called the "digit") in place and stabilizes the bone with wires or a plate and screws.
Tendons are repaired next, followed by nerves and blood vessels. Nerve and blood vessel repair are the most important step to the success of the procedure.
After all repairs are complete, the wound is closed and a bandage (called a bulky dressing) is applied. Young children may need to wear a cast to protect the area from injury.
If you have a partial (incomplete) amputation, part of the toe or finger stays attached to the body by skin, artery, vein, or nerve. In this case, a process called revascularization is used to reattach the finger or toe.
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.
Chai Y, Kang Q, Yang Q, Zeng B. Replantation of amputated finger composite tissues with microvascular anastomosis. Microsurgery. 2008;28:314-320.
Lyn ET, Mailhot T. Hand. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 47.
Halluksa-Handy M. Management of amputations. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 47.
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