ore than 20,000 individuals are estimated to be impacted by finger amputations each year. 1,2 Such injuries can have a major impact on one's livelihood and psychosocial wellbeing. Since the first digital replantation operations were performed in the 1960s, criteria for this technically demanding intervention have been constantly evolving. 3,4 Early documented outcomes of up to 90 percent success have been tempered recently by more modest outcomes of 57 percent reported by Fufa et al. [5][6][7][8] The great variability of outcomes in the cited literature demonstrates the complexity of the operative indications and the technically demanding nature of the operation itself.The decision to undergo replantation versus revision amputation must take into consideration patient-specific, injury-specific, and hospital system/care-team factors. 5,6,[9][10][11] Patient variables include age, injured hand, injury type, zone, and the method of preserving the amputated digit. 12
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