Fingertip replantation at or beyond the nail base in children

Shi, Dongquan; Qi, Jian; Li, R N Donghui; Zhu, Lei; Jin, Wen-tao; Cai, Daozhang

doi:10.1002/micr.20743

Cited by 43 publications

(36 citation statements)

References 28 publications

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“…Despite the advances in the microsurgical techniques [20], [21] [22], [23], [24], the reconstruction of the amputated digits for a number of patients may not be successful and the can benefit more with passive prostheses [25], [26]. The primary purpose of prosthesis is to allow the patient to pass unnoticed and concealment of prosthesis usage has been found to be an effective coping strategy.…”

Section: Prosthetic Rehabilitationmentioning

confidence: 99%

Prosthetic Rehabilitation of an Amputated finger

Yeshwante¹,

Parasrampuria²,

Baig³

2014

IOSRJDMS

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Along with functions like grasping and feeling, hands also have an esthetic impact and they can emphasize the beauty of a gesture or grace of a movement Finger and partial finger amputations are some of the most frequently encountered forms of partial hand loss.Whether the traumatic loss of limb or finger is due to war, congenital malformations, systemic diseases (diabetes), an industrial, domestic or vehicular accident, amputation leaves the individual with a long lasting emotional scar from the disfigurement.The concealment of the amputation with the help of reconstructive surgery or prosthesis usage can shield an amputee from social stigma and help improve emotional healing process.Fabrication of finger prosthesis is as much as an art as it is science. The traditional techniques of prosthesis fabrication as described in the review, via silicone and osseointegrated implant for anchorage of digital prosthesis serves an alternative to complex surgical procedures.

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Section: Prosthetic Rehabilitationmentioning

confidence: 99%

Prosthetic Rehabilitation of an Amputated finger

Yeshwante¹,

Parasrampuria²,

Baig³

2014

IOSRJDMS

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“…Par ailleurs, les délais de replantation digitale sont beaucoup plus longs que pour un membre contenant des muscles. Un doigt bien conservé peut facilement être replanté neuf à dix heures plus tard et parfois au-delà [5,6]. Il est donc facile et fortement recommandé d'obtenir l'accord parental durant ce délai sans pour autant avoir été préjudiciable pour l'enfant.…”

Section: Particularités Techniquesunclassified

La replantation digitale chez l’enfant

Barbary

Dautel

2012

Chirurgie de la Main

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“…Die modernen Entwicklungen im Bereich der Mikrochirurgie mit der Möglichkeit der Anastomosierung von Gefäßen mit einem Durchmesser von 0,3 bis 0,8 mm sowie einzelner Nervenfaszikel, die unter dem Begriff der Supermikrochirurgie zusammengefasst werden, führen zu einer teilweise spektakulären Erweiterung des rekonstruktiven Spektrums in diesem Bereich [3]. So berichteten Shi et al in einer Fallserie über die erfolgreiche Replantation kindlicher Endgliedamputationen auf Höhe der Nagelwurzel und distal davon [4].…”

Section: Introductionunclassified

Ergebnisse nach Fingerendgliedreplantation – Ist der Aufwand gerechtfertigt?

Braig

Thiele

Penna

et al. 2017

Handchir Mikrochir plast Chir

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There are only relative indications for distal digital replantation in zones 1 and 2 according to Tamai. In contrast to primary closure for fingertip amputations, replantation is a complex procedure that requires skills in supermicrosurgical techniques, as vessels with diameters between 0.3-0.8 mm are connected. In addition the time spent in hospital and the time off from work are longer. Distal digital replantation is thus only indicated, if the expected functional and aesthetic benefits surmount those of primary closure. We retrospectively analysed all fingertip amputations in zone 1 and 2 according to Tamai between 9/2009 and 7/2014 where we attempted distal digital replantation. The success of replantation, wound healing and functional results were evaluated according to Yamano. We performed 11 distal digital replantations in the study period. There were 6 total amputations, 4 subtotal amputations and 1 avulsion of the digital pulp. Revascularisation with long-term reattachment of the amputated tissues was possible in 8 cases (73%). In 3 cases (27%) secondary amputation closure was necessary. The mean operating time was 3 h 56 min. 6 patients, which had a successful replantation, were available for follow-up examinations after a mean period of 19 months. 5 patients were satisfied with the result and would again prefer replantation over primary amputation closure. 4 patients reported a good function of the replanted digits and did not complain about any limitations in their use. 2 patients complained about restricted function. All patients could return to their previous places of employment and were free of pain. Of the 12 affected digital nerves 11 nerves had a 2-point discrimination (2-PD) of ≤15 mm, 3 of them had a 2-PD between 7 and 10 mm and 4 of them of <6 mm. Soft tissue atrophy was obvious in 3 replanted digits and nail deformities in 2 patients. Distal digital replantation is complex and technically challenging. It leads to high patient satisfaction with only minimal functional limitations, if successful. Due to the good results that can be obtained by these procedures, fingertip replantation should be attempted, if operative risks are minimal and if requested by the patient.

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Fingertip replantation at or beyond the nail base in children

Cited by 43 publications

References 28 publications

Prosthetic Rehabilitation of an Amputated finger

Prosthetic Rehabilitation of an Amputated finger

La replantation digitale chez l’enfant

Ergebnisse nach Fingerendgliedreplantation – Ist der Aufwand gerechtfertigt?

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